Beech Grove Chiropractic, Inc P.c. | |
3850 South Emerson Avenue, Suite F, Indianapolis, IN 46203-5997 | |
(317) 788-0227 | |
(317) 788-0246 |
Full Name | Beech Grove Chiropractic, Inc P.c. |
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Type | Facility |
Speciality | Chiropractor |
Location | 3850 South Emerson Avenue, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962629972 | NPI | - | NPPES |
200028020A | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 08001592 (Indiana) | Primary |
Provider Name | Richard Walter James |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1912124918 PECOS PAC ID: 3779705405 Enrollment ID: I20141113001964 |
Mailing Address | Practice Location Address |
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Beech Grove Chiropractic, Inc P.c. 3850 S Emerson Avenue, Suite F, Indianapolis, IN 46203-5997 Ph: (317) 788-0227 | Beech Grove Chiropractic, Inc P.c. 3850 South Emerson Avenue, Suite F, Indianapolis, IN 46203-5997 Ph: (317) 788-0227 |
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