# CHIROPRACTIC NEUROLOGY CENTER OF INDIANAPOLIS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518136936
- **Authorized official:** DR. BRADLEY R. RALSTON D.C. (OWNER)
- **Authorized official phone:** (317) 848-6000

## Contact information

- **Practice address:** 9302 N MERIDIAN ST, STE 299, INDIANAPOLIS, IN 46260-1873
- **Practice address phone:** (317) 848-6000
- **Practice address fax:** (317) 848-6011
- **Mailing address:** 9302 N MERIDIAN ST, STE 299, INDIANAPOLIS, IN 46260-1873
- **Mailing address phone:** (317) 848-6000
- **Mailing address fax:** (317) 848-6011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN0400X | Neurology Chiropractor | — | NULL | Yes |
| 111NN0400X | Neurology Chiropractor | — | — | Yes |

## Other

- **Enumeration date:** 02/29/2008
- **Last updated:** 06/25/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000198956 | BLUE CROSS/BLUE SHIELD | — |
| 05 | — | 200363370A | — | IN |