GLENDALE CHIROPRACTIC P.C. NPI 1932391125

NPI Information

GLENDALE CHIROPRACTIC P.C. 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. GLENDALE CHIROPRACTIC P.C. NPI is 1932391125. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Healthsource Of Indianapolis.

The provider's business location address is:

6301 N KEYSTONE AVE
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 257-2225
Fax: (317) 257-0646

The provider's authorized official is Joseph D Fortunato .
The authorized official title is Owner and has the following contact phone number (317) 257-2225.

The enumeration date for this NPI number is 8/13/2007 and was last updated on 1/31/2013.

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:

Other Identifiers

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

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