Tenika Henry-graves, | |
1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 | |
(317) 340-3865 | |
Not Available |
Full Name | Tenika Henry-graves |
---|---|
Gender | Female |
Speciality | Chiropractor |
Location | 1803 Broad Ripple Ave, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205476926 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08003136A (Indiana) | Primary |
Provider Name | Community Healthnet Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952332298 PECOS PAC ID: 6305852344 Enrollment ID: O20060228000318 |
Provider Name | Spine And Joint Associates Of Mishawaka Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609264795 PECOS PAC ID: 2163749524 Enrollment ID: O20150323002191 |
Provider Name | Spine And Joint Associates Of Plymouth Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558759654 PECOS PAC ID: 6406173350 Enrollment ID: O20150402001443 |
Mailing Address | Practice Location Address |
---|---|
Tenika Henry-graves, 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 Ph: (317) 536-5781 | Tenika Henry-graves, 1803 Broad Ripple Ave, Indianapolis, IN 46220-2339 Ph: (317) 340-3865 |
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