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ADVANCED INTEGRATIVE MEDICINE AND CHIROPRACTICE WELLNESS CENTER PC NPI 1225232283


NPI Information

NPI: 1225232283
Provider Name: ADVANCED INTEGRATIVE MEDICINE AND CHIROPRACTICE WELLNESS CENTER PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 15D0993585

Address:
82 E 3RD ST
PERU, IN
ZIP 46970
Phone: (765) 472-7777
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ADVANCED INTEGRATIVE MEDICINE AND CHIROPRACTICE WELLNESS CENTER PC is a chiropractor in Peru, 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. ADVANCED INTEGRATIVE MEDICINE AND CHIROPRACTICE WELLNESS CENTER PC NPI is 1225232283. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

82 E 3RD ST
PERU, IN
ZIP 46970-213
Phone: (765) 472-7777

The provider's authorized official is Trent Jones .
The authorized official title is Owner Partner and has the following contact phone number (765) 472-7777.

The CLIA number assigned to this NPI record is 15D0993585 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/13/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor08001127AINDIANAYes

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: 5/5/2024

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