Back In Action Chiropractic | |
10443 Llinois Road, Fort Wayne, IN 46814 | |
(260) 625-5144 | |
(260) 625-5264 |
Full Name | Back In Action Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 10443 Llinois Road, Fort Wayne, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1821229998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 08002467A (Indiana) | Primary |
Provider Name | Michael R Odonnell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225268568 PECOS PAC ID: 9537214515 Enrollment ID: I20090826000657 |
Mailing Address | Practice Location Address |
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Back In Action Chiropractic 10443 Llinois Road, Fort Wayne, IN 46814 Ph: (260) 625-5144 | Back In Action Chiropractic 10443 Llinois Road, Fort Wayne, IN 46814 Ph: (260) 625-5144 |
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