Dr Eric Anthony Wolf, DC | |
410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 | |
(317) 890-4026 | |
Not Available |
Full Name | Dr Eric Anthony Wolf |
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Gender | Male |
Speciality | Chiropractor |
Location | 410 S Mitthoeffer Rd, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376026393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08003054A (Indiana) | Primary |
Provider Name | East Washington Chiropractic Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700911013 PECOS PAC ID: 7315112539 Enrollment ID: O20111215000757 |
Mailing Address | Practice Location Address |
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Dr Eric Anthony Wolf, DC 410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 Ph: () - | Dr Eric Anthony Wolf, DC 410 S Mitthoeffer Rd, Indianapolis, IN 46229-3058 Ph: (317) 890-4026 |
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