| Frasier Chiropractic And Sports Clinic, Inc. | |
|
2790 Brentwood Dr Columbus IN 47203-2249 | |
| (812) 373-9880 | |
| Not Available |
| Full Name | Frasier Chiropractic And Sports Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2790 Brentwood Dr, Columbus, Indiana |
| Authorized Official Name and Position | Nathanial James Frasier (CHIROPRACTIC PHYSICIAN) |
| Authorized Official Contact | 8123435252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frasier Chiropractic And Sports Clinic, Inc. 3200 Sycamore Court #1d Columbus IN 47201-1513 Ph: () - | Frasier Chiropractic And Sports Clinic, Inc. 2790 Brentwood Dr Columbus IN 47203-2249 Ph: (812) 373-9880 |
| NPI Number | 1821276197 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 10/02/2024 |
| Medicare PECOS PAC ID | 4688751654 |
|---|---|
| Medicare Enrollment ID | O20080402000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821276197 | NPI | - | NPPES |
| 08002325A | Other | IN | CHIROPRACTIC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 08002325A (Indiana) | Primary |
| Provider Name | Nathanial J Frasier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457470965 PECOS PAC ID: 8325138647 Enrollment ID: I20080402000101 |
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