# SHELBY PAIN AND SPINE

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

## Provider details

- **NPI number:** 1902465941
- **Authorized official:** DR. JEFFREY R MCINTYRE DC (OWNER)
- **Authorized official phone:** (317) 512-0607

## Contact information

- **Practice address:** 302 DURAN DR, SHELBYVILLE, IN 46176-1986
- **Practice address phone:** (317) 392-6200
- **Mailing address:** 407 E MARKET ST STE 102, CRAWFORDSVILLE, IN 47933-1852
- **Mailing address phone:** (765) 362-1500
- **Mailing address fax:** (765) 361-8919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/12/2019
- **Last updated:** 10/17/2019