| Billingsley Chiropractic Center Pc | |
|
4940 S Emerson Ave, Indianapolis, IN 46203-5937 | |
| (317) 784-9311 | |
| (317) 784-9395 |
| Full Name | Billingsley Chiropractic Center Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4940 S Emerson Ave, 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 |
|---|---|---|---|
| 1629216544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Gary R Billingsley |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245386655 PECOS PAC ID: 1658438577 Enrollment ID: I20090320000273 |
| Provider Name | Kristen A Hartwell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588828156 PECOS PAC ID: 3779630553 Enrollment ID: I20090414000252 |
| Provider Name | Brookley M Pavnica |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366804759 PECOS PAC ID: 1456639681 Enrollment ID: I20190730001346 |
| Mailing Address | Practice Location Address |
|---|---|
| Billingsley Chiropractic Center Pc 4940 S Emerson Ave, Indianapolis, IN 46203-5937 Ph: (317) 784-9311 | Billingsley Chiropractic Center Pc 4940 S Emerson Ave, Indianapolis, IN 46203-5937 Ph: (317) 784-9311 |
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