Dr Terry Joe Tolle, DC | |
4625 S Emerson Ave, Indianapolis, IN 46203-5972 | |
(317) 522-2303 | |
(317) 522-2304 |
Full Name | Dr Terry Joe Tolle |
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Gender | Male |
Speciality | Chiropractor |
Location | 4625 S Emerson Ave, 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 |
---|---|---|---|
1124131826 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08001559A (Indiana) | Primary |
Provider Name | Calmare Treatment Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851740302 PECOS PAC ID: 2062848567 Enrollment ID: O20200131001063 |
Mailing Address | Practice Location Address |
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Dr Terry Joe Tolle, DC 5135 S Emerson Ave Ste C, Indianapolis, IN 46237-1967 Ph: (317) 991-5710 | Dr Terry Joe Tolle, DC 4625 S Emerson Ave, Indianapolis, IN 46203-5972 Ph: (317) 522-2303 |
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