INDYCHIRO LLC NPI 1972813947

NPI Information

NPI: 1972813947
Provider Name: INDYCHIRO, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4760 E 62ND ST
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 255-4222
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INDYCHIRO, 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. INDYCHIRO, LLC NPI is 1972813947. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4760 E 62ND ST
INDIANAPOLIS, IN
ZIP 46220-234
Phone: (317) 255-4222
Fax: (317) 704-4900

The provider's authorized official is Eric B. Morris .
The authorized official title is Agent/minority Owner and has the following contact phone number (317) 255-4222.

The enumeration date for this NPI number is 10/8/2010 and was last updated on 7/15/2014.

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
1	111N00000X	Chiropractor		08001498A	INDIANA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1004416104	MEDICAID	INDIANA
2	716750	MEDICARE PIN	INDIANA
3	08001498A	OTHER	INDIANA	STATE LICENSE NUMBER
4	U45559	MEDICARE UPIN	INDIANA
5	000000222754	OTHER	INDIANA	BLUE CROSS/ BLUE SHIELD

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

NPI Synchronization or Removal

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