Provider Demographics
NPI:1154298412
Name:CLARIDGE CHIROPRACTIC
Entity type:Organization
Organization Name:CLARIDGE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:QUADE
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:CLARIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:812-789-3374
Mailing Address - Street 1:9424 S COUNTY ROAD 400 E
Mailing Address - Street 2:
Mailing Address - City:STENDAL
Mailing Address - State:IN
Mailing Address - Zip Code:47585-8955
Mailing Address - Country:US
Mailing Address - Phone:812-789-3374
Mailing Address - Fax:
Practice Address - Street 1:501 E 6TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGBURG
Practice Address - State:IN
Practice Address - Zip Code:47542-1008
Practice Address - Country:US
Practice Address - Phone:812-683-2273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-21
Last Update Date:2025-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty