Healthsource Of Indianapolis | |
6301 N Keystone Ave, Indianapolis, IN 46220 | |
(317) 257-2225 | |
(317) 257-0646 |
Full Name | Healthsource Of Indianapolis |
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Type | Facility |
Speciality | Chiropractor |
Location | 6301 N Keystone 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 |
---|---|---|---|
1932391125 | NPI | - | NPPES |
100120180 | Medicaid | IN | |
91939 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08001070 (Indiana) | Primary |
171100000X | Acupuncturist | 08001070 (Indiana) | Secondary |
Provider Name | Joseph D Fortunato |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1639157407 PECOS PAC ID: 7618038738 Enrollment ID: I20081209000065 |
Provider Name | Rebecca Elizabeth Street |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1144819699 PECOS PAC ID: 9032524673 Enrollment ID: I20210212001328 |
Mailing Address | Practice Location Address |
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Healthsource Of Indianapolis 6301 N Keystone Ave, Indianapolis, IN 46220 Ph: (317) 257-2225 | Healthsource Of Indianapolis 6301 N Keystone Ave, Indianapolis, IN 46220 Ph: (317) 257-2225 |
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Dr. Christopher Lee Hyde, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 5650 W 86th St, Suite 128, Indianapolis, IN 46278 Phone: 317-870-9912 Fax: 317-870-9913 | |
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David Fenderson, Chiropractor Medicare: Medicare Enrolled Practice Location: 1460 W 86th St, Indianapolis, IN 46260 Phone: 317-679-1858 | |
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