Dr Ahmad Sprouse, DC | |
8145 Kennedy Ave, Highland, IN 46322-1128 | |
(219) 803-6630 | |
Not Available |
Full Name | Dr Ahmad Sprouse |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 11 Years |
Location | 8145 Kennedy Ave, Highland, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205293800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08002742A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Integrated Body And Medicine Pc | 7416366687 | 3 |
Provider Name | Integrated Body And Medicine Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407404569 PECOS PAC ID: 7416366687 Enrollment ID: O20210429002599 |
Mailing Address | Practice Location Address |
---|---|
Dr Ahmad Sprouse, DC 8145 Kennedy Ave, Highland, IN 46322-1128 Ph: (219) 803-6630 | Dr Ahmad Sprouse, DC 8145 Kennedy Ave, Highland, IN 46322-1128 Ph: (219) 803-6630 |
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