Lakeshore Chiropractic Pc | |
9745 Fall Creek Rd, Ste 700, Indianapolis, IN 46256-4728 | |
(317) 842-5100 | |
(317) 842-5101 |
Full Name | Lakeshore Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 9745 Fall Creek Rd, 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 |
---|---|---|---|
1598806374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Cole Evan Blume |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1861540841 PECOS PAC ID: 0749200319 Enrollment ID: I20051128000558 |
Mailing Address | Practice Location Address |
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Lakeshore Chiropractic Pc 9745 Fall Creek Rd, Ste 700, Indianapolis, IN 46256-4728 Ph: (317) 842-5100 | Lakeshore Chiropractic Pc 9745 Fall Creek Rd, Ste 700, Indianapolis, IN 46256-4728 Ph: (317) 842-5100 |
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