Individual provider · Type 1 NPI
Glenn Jay Pedersen, DC
Chiropractor · Paoli, IN
NPI number
1083706162
Active
Practice location
650 N Gospel St Ste 4
Paoli, IN 47454-1482
Fax (833) 336-4142
Mailing address
650 N Gospel St
Paoli, IN 47454-1483
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 08000852A (IN) |
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.
Other chiropractor providers in Paoli
About NPI 1083706162
Glenn Jay Pedersen, DC's National Provider Identifier is 1083706162, issued on Sep 28, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Paoli, IN. The record was last updated on May 21, 2025.