NPI 1962629972 · live from the CMS NPI Registry
Beech Grove Chiropractic, INC P.C.
Chiropractor in Indianapolis, IN. National Provider Identifier 1962629972, active.
NPI record
| NPI | 1962629972 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 3850 South Emerson Avenue, Suite F, Indianapolis, IN 46203 |
| Practice phone | 317-788-0227 |
| Mailing address | 3850 S Emerson Avenue, Suite F, Indianapolis, IN 46203 |
| Enumerated | April 19, 2007 |
| Last updated | October 31, 2014 |
| Authorized official | Richard James, Insurance |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 08001592 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.