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BRIAN WATTERS DC LLC NPI 1720358047


NPI Information

NPI: 1720358047
Provider Name: BRIAN WATTERS DC LLC

Doing Business As: INDY MUSCLE & JOINT CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
11691 FALL CREEK RD STE 110
INDIANAPOLIS, IN
ZIP 46256
Phone: (317) 688-1711
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BRIAN WATTERS DC LLC is a chiropractor in Indianapolis, 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. BRIAN WATTERS DC LLC NPI is 1720358047. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Indy Muscle & Joint Clinic.

The provider's business location address is:

11691 FALL CREEK RD STE 110
INDIANAPOLIS, IN
ZIP 46256-448
Phone: (317) 688-1711
Fax: (317) 288-4041

The provider's authorized official is Brian Watters .
The authorized official title is Member and has the following contact phone number (317) 517-8543.

The enumeration date for this NPI number is 1/3/2012 and was last updated on 2/4/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor08002617AINDIANAYes
2261Q00000XClinic/CenterNo

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: 4/28/2024

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