# DURAN BACK PAIN CHIROPRACTIC CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Duran Zormeier Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417186487
- **Authorized official:** DR. DANIEL P DURAN DC, CSST (OWNER)
- **Authorized official phone:** (317) 392-6200

## Contact information

- **Practice address:** 302 DURAN DR, SHELBYVILLE, IN 46176-1986
- **Practice address phone:** (317) 392-6200
- **Practice address fax:** (317) 398-7526
- **Mailing address:** 302 DURAN DR, SHELBYVILLE, IN 46176-1986
- **Mailing address phone:** (317) 392-6200
- **Mailing address fax:** (317) 398-7526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | NULL | — |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 06/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1194797308 | — | IN |
| 01 | — | 6448100001 | DME | IN |