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Organization
LAFAYETTE INTEGRATIVE HEALTH CENTER
Active
Organization
LAFAYETTE INTEGRATIVE HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW C FERRIS DC (OWNER)
(317) 414-9930
Entity
Organization
Contact information
Practice address
12 ELSTON RD, LAFAYETTE, IN 47909-7000
(765) 477-7707
(765) 477-7707
Mailing address
12 ELSTON RD, LAFAYETTE, IN 47909-7000
(765) 477-7707
(765) 477-7707
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002167A
IN
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/23/2013
Last updated
01/23/2013
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