Active Chiropractic Clinic Inc in Indianapolis - Sports Physician

Active Chiropractic Clinic Inc - NPI 1427233485

Active Chiropractic Clinic Inc is a Sports Physician in Indianapolis, Indiana. Active Chiropractic Clinic Inc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Active Chiropractic Clinic Inc is 1427233485. The last update date is 2008-02-06.

Active Chiropractic Clinic Inc's current location address is 5845 Sunnyside Rd, Indianapolis, Indiana. You can contact this provider via phone number 3178262273 and fax number 3178262673. The mailing address for Active Chiropractic Clinic Inc is 5845 Sunnyside Rd, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Active Chiropractic Clinic Inc
Address 5845 Sunnyside Rd, Indianapolis, Indiana
Phone Number 3178262273
Fax Number 3178262673
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kistler J Timothy
Credentials D.C.
Telephone Number 3178262273

NPI Number Detail

NPI Number 1427233485
Provider Enumeration Date 2008-01-08
Last Updated Date 2008-02-06

Provider Mailing Address Detail

Address 5845 Sunnyside Rd
City Indianapolis
State Indiana (IN)
Post Code 462358402
Phone Number 3178262273
Fax Number 3178262673

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 8001237
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00006924 IN RR MEDICARE
344943 IN BCBS

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FAQs about Active Chiropractic Clinic Inc

What is the unique 10-digit identifier code assigned to Active Chiropractic Clinic Inc by the Centers for Medicare & Medicaid Services?

The Active Chiropractic Clinic Inc has been issued the NPI (National Provider Identifier) 1427233485 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you share the physical location details of Active Chiropractic Clinic Inc?

The Active Chiropractic Clinic Inc is situated at 5845 Sunnyside Rd, in the city of Indianapolis, state of IN, with the zip code 462358402.

What is Active Chiropractic Clinic Inc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Active Chiropractic Clinic Inc is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.

On what date did the Active Chiropractic Clinic Inc receive its 1427233485 assignment from the Centers for Medicare & Medicaid Services?

The Active Chiropractic Clinic Inc was assigned its 1427233485 by the Centers for Medicare & Medicaid Services on 2008-01-08.

As of what date was the information pertaining to Active Chiropractic Clinic Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Active Chiropractic Clinic Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-02-06.

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