Provider Demographics
NPI:1497303994
Name:RODGERS, EMILY (DC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:RODGERS
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:WELCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:169 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BERNE
Mailing Address - State:IN
Mailing Address - Zip Code:46711-1548
Mailing Address - Country:US
Mailing Address - Phone:260-849-6107
Mailing Address - Fax:260-849-6109
Practice Address - Street 1:169 W MAIN ST
Practice Address - Street 2:
Practice Address - City:BERNE
Practice Address - State:IN
Practice Address - Zip Code:46711-1548
Practice Address - Country:US
Practice Address - Phone:260-849-6107
Practice Address - Fax:260-849-6109
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003086A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty