| Jacob Odell Roberts, DC | |
|
2413 N Meridian St, Indianapolis, IN 46208 | |
| (317) 924-5250 | |
| Not Available |
| Full Name | Jacob Odell Roberts |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 2413 N Meridian St, Indianapolis, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871760751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 10798 (Texas) | Secondary |
| 111N00000X | Chiropractor | 08002512A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob Odell Roberts, DC 2413 N Meridian St, Indianapolis, IN 46208-5854 Ph: (317) 924-5250 | Jacob Odell Roberts, DC 2413 N Meridian St, Indianapolis, IN 46208 Ph: (317) 924-5250 |
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