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

Jordan R Divine

Individual provider Chiropractor · NPI 1407146582

Jordan R Divine is a Chiropractor in Loogootee, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2011
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Practice location Address checks out

404 N John F Kennedy Ave
Loogootee, IN 47553-1219
Phone: (812) 295-5600
Fax: (812) 295-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 08002579A (IN)

Record details

NPI number1407146582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 11, 2011
Last updated in NPPESJune 28, 2011
Mailing address407 E Main St, Loogootee, IN 47553-1241

Other providers in Loogootee