DR. DYLAN C WITTHOFT (NPI# 1265914337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265914337 |
| Entity Type | Individual |
| Full Name | DR. DYLAN C WITTHOFT |
| Credential | DC |
| Practice Address |
1332 W Arch Haven Ave Ste C Bloomington IN 47403-2078 |
| Practice Telephone | 8123337447 |
| Practice Fax Number | 8123337442 |
| Mailing Telephone | 8123337447 |
| Mailing Fax Number | 8123337442 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08003052A | IN | Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 In-39 Bypass, Martinsville, IN 46151 | 7653150680 | 7653150681 |
| Street Address |
1332 W ARCH HAVEN AVE STE C |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47403-2078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306034590 | Brandon Matthew Osmon | Chiropractor | 1332 W Arch Haven Ave Ste C, Bloomington, IN 47403-2078 | 2007-10-12 |
| 1043863780 | Lloyd Dane Ericson | Chiropractor | 1332 W Arch Haven Ave Ste C, Bloomington, IN 47403-2078 | 2019-07-22 |
| 1407378169 | Beth Estelle Pruett | Chiropractor | 1332 W Arch Haven Ave Ste C, Bloomington, IN 47403-2078 | 2017-07-13 |
| 1114310018 | Logan P Chamberlain | Chiropractor | 1332 W Arch Haven Ave Ste C, Bloomington, IN 47403-2078 | 2015-03-17 |
| 1275940694 | Seth Painter | Chiropractor | 1332 W Arch Haven Ave Ste C, Bloomington, IN 47403-2078 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
| 1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
| 1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
| 1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
| 1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
| 1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
| 1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
| 1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
| 1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
| 1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
| Find all providers in zip 47403 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1245886647 | Jaclyn Lawfer | Chiropractor | 1210 Towanda Ave Ste 17, Bloomington, IL 61701-7415 | 2019-08-13 |
| 1578116190 | Zach Lundbohm | Chiropractor | 7700 W Old Shakopee Rd Ste 180, Bloomington, MN 55438-3302 | 2019-07-23 |
| 1396398020 | Anastasia Cannedy | Chiropractor | 3701 W Old Shakopee Rd Ste 550, Bloomington, MN 55431-3558 | 2019-07-22 |
| 1780236356 | Enhanced Health Chiropractic, LLC | Chiropractor | 4651 W Richland Plaza Dr Ste P, Bloomington, IN 47404-9777 | 2019-07-12 |
| 1831754399 | Sophia Collective LLC | Chiropractor | 619 N Morton St, Bloomington, IN 47404-4096 | 2019-05-09 |
| 1538659776 | Amanda Jo Mccoy | Chiropractor | 565 N Walnut St, Bloomington, IN 47404-3896 | 2018-05-14 |
| 1326560582 | Gayla Suzanna Mae Thombleson | Chiropractor | 2901 N Walnut St, Bloomington, IN 47404-2065 | 2017-07-10 |
| 1285154765 | Matthew Michael Myers | Chiropractor | 11133 France Ave S, Bloomington, MN 55431-3857 | 2017-06-26 |
| 1932550506 | Michael Colich | Chiropractor | 8701 Penn Ave S, Bloomington, MN 55431-2020 | 2016-06-24 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 47403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.