John Theriot, DC | |
11691 Fall Creek Rd Ste 110, Indianapolis, IN 46256-9448 | |
(317) 450-5347 | |
Not Available |
Full Name | John Theriot |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 2 Years |
Location | 11691 Fall Creek Rd Ste 110, Indianapolis, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134865371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08003300A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brian Watters Dc Llc | 9032549274 | 2 |
Provider Name | Brian Watters Dc Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1720358047 PECOS PAC ID: 9032549274 Enrollment ID: O20200430001955 |
Mailing Address | Practice Location Address |
---|---|
John Theriot, DC 11691 Fall Creek Rd Ste 110, Indianapolis, IN 46256-9448 Ph: () - | John Theriot, DC 11691 Fall Creek Rd Ste 110, Indianapolis, IN 46256-9448 Ph: (317) 450-5347 |
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