| Dol Doctors Indiana | |
|
7430 N Shadeland Ave Ste 230 Indianapolis IN 46250-2036 | |
| (317) 991-5710 | |
| (317) 755-1807 |
| Full Name | Dol Doctors Indiana |
|---|---|
| Speciality | Clinic/Center |
| Location | 7430 N Shadeland Ave Ste 230, Indianapolis, Indiana |
| Authorized Official Name and Position | Terry Joe Tolle (MANAGING EMPLOYEE) |
| Authorized Official Contact | 3174421515 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dol Doctors Indiana 7430 N Shadeland Ave Ste 230 Indianapolis IN 46250-2036 Ph: (317) 991-5710 | Dol Doctors Indiana 7430 N Shadeland Ave Ste 230 Indianapolis IN 46250-2036 Ph: (317) 991-5710 |
| NPI Number | 1851740302 |
|---|---|
| Provider Enumeration Date | 06/06/2016 |
| Last Update Date | 11/17/2022 |
| Medicare PECOS PAC ID | 2062848567 |
|---|---|
| Medicare Enrollment ID | O20200131001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851740302 | NPI | - | NPPES |
| Provider Name | Jerry Ray Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619958378 PECOS PAC ID: 5698661775 Enrollment ID: I20040225000749 |
| Provider Name | Terry J Tolle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124131826 PECOS PAC ID: 5991786931 Enrollment ID: I20040526000886 |
| Provider Name | Jennifer M Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255745303 PECOS PAC ID: 5395961742 Enrollment ID: I20140722000322 |
| Provider Name | Paula M Jones |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033396106 PECOS PAC ID: 9830172162 Enrollment ID: I20151229001170 |
| Provider Name | Seth C Mckinney |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1043753197 PECOS PAC ID: 6204117401 Enrollment ID: I20161230000776 |
| Provider Name | Krysta L Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992291264 PECOS PAC ID: 0941559983 Enrollment ID: I20180823002641 |
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