Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Glenn Jay Pedersen, DC

Individual provider Chiropractor · NPI 1083706162

Dr. Glenn Jay Pedersen, DC is a Chiropractic in Paoli, Indiana. Graduated from National College of Chiropractic in 1982, 44 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
44
Trained at
National College of Chiropractic
Licensed in
IN
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

650 N Gospel St Ste 4
Paoli, IN 47454-1482
Phone: (812) 252-2225
Fax: (833) 336-4142
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 08000852A (IN)

Record details

NPI number1083706162
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedSeptember 28, 2006
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025
Mailing address650 N Gospel St, Paoli, IN 47454-1483

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolNATIONAL COLLEGE OF CHIROPRACTIC
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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