NPI 1679971501 · live from the CMS NPI Registry
Ahmad R. Sprouse
Chiropractor in Chesterton, IN. National Provider Identifier 1679971501, active.
NPI record
| NPI | 1679971501 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 1496 Pope Ct Ste 3, Chesterton, IN 46304 |
| Practice phone | 219-926-8522 |
| Mailing address | 1496 Pope Ct, Chesterton, IN 46304 |
| Enumerated | December 9, 2014 |
| Last updated | December 9, 2014 |
| Authorized official | Ahmad Sprouse, Independent Contractor |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 080002742A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.