Premier Performance Chiropractic | |
4735 Statesmen Dr, Suite E, Indianapolis, IN 46250-5646 | |
(317) 712-3961 | |
(317) 712-3963 |
Full Name | Premier Performance Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 4735 Statesmen Dr, 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 |
---|---|---|---|
1740690981 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 08002599A (Indiana) | Primary |
Provider Name | Scott A Kuper |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1205117090 PECOS PAC ID: 9739312646 Enrollment ID: I20140430000852 |
Mailing Address | Practice Location Address |
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Premier Performance Chiropractic 4735 Statesmen Dr, Suite E, Indianapolis, IN 46250-5646 Ph: (317) 712-3961 | Premier Performance Chiropractic 4735 Statesmen Dr, Suite E, Indianapolis, IN 46250-5646 Ph: (317) 712-3961 |
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