Chiro One Wellness Center Of Broad Ripple, Llc | |
5858 N College Ave, Indianapolis, IN 46220-2552 | |
(317) 401-8075 | |
Not Available |
Full Name | Chiro One Wellness Center Of Broad Ripple, Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 5858 N College 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 |
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1881273910 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Sean Ellingworth |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386153047 PECOS PAC ID: 1951660588 Enrollment ID: I20210816002483 |
Provider Name | Cody Senkyr |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1518337377 PECOS PAC ID: 5597065722 Enrollment ID: I20220520001539 |
Mailing Address | Practice Location Address |
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Chiro One Wellness Center Of Broad Ripple, Llc 2625 Butterfield Rd Ste 301n, Oak Brook, IL 60523-1266 Ph: (630) 229-4430 | Chiro One Wellness Center Of Broad Ripple, Llc 5858 N College Ave, Indianapolis, IN 46220-2552 Ph: (317) 401-8075 |
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