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Organization
SHELBY PAIN AND SPINE
Active
Organization
SHELBY PAIN AND SPINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R MCINTYRE DC (OWNER)
(317) 512-0607
Entity
Organization
Contact information
Practice address
302 DURAN DR, SHELBYVILLE, IN 46176-1986
(317) 392-6200
Mailing address
407 E MARKET ST STE 102, CRAWFORDSVILLE, IN 47933-1852
(765) 362-1500
(765) 361-8919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/12/2019
Last updated
10/17/2019
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