Organization
HEROH SPORTS AND FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. B JERMAINE WARE DC (PRESIDENT)
(317) 400-5853
Entity
Organization
Contact information
Practice address
8425 CASTLETON CORNER DR, INDIANAPOLIS, IN 46250-3580
(317) 400-5853
Mailing address
8425 CASTLETON CORNER DR, INDIANAPOLIS, IN 46250-3580
(317) 400-5853
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300022161
—
IN
Enumeration date
10/11/2018
Last updated
08/03/2019
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