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FREDERICK FAMILY CHIROPRACTIC LLC NPI 1497956049


NPI Information

NPI: 1497956049
Provider Name: FREDERICK FAMILY CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3415 W FOX RIDGE LN
MUNCIE, IN
ZIP 47304
Phone: (765) 286-9020
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FREDERICK FAMILY CHIROPRACTIC LLC is a chiropractor in Muncie, IN. The provider is 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. FREDERICK FAMILY CHIROPRACTIC LLC NPI is 1497956049. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3415 W FOX RIDGE LN
MUNCIE, IN
ZIP 47304-204
Phone: (765) 286-9020
Fax: (765) 286-9097

The provider's authorized official is Donna S Frederick .
The authorized official title is Chiropractor, Owner and has the following contact phone number (765) 286-9020.

The enumeration date for this NPI number is 5/30/2007 and was last updated on 6/22/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor08002263AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11296287OTHERINDIANAAETNA
2235950MEDICARE PININDIANA
3000000478644OTHERINDIANAANTHEM
4200816880AMEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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