Organization
DR. JON J. STANICH P.C.
Active
Other names
Lawrence Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON JOSEPH STANICH D.C. (OWNER)
(317) 823-7000
Entity
Organization
Contact information
Practice address
10830 PENDLETON PIKE, SUITE E, INDIANAPOLIS, IN 46236-3300
(317) 823-7000
(317) 823-7002
Mailing address
PO BOX 36365, INDIANAPOLIS, IN 46236-0365
(317) 823-7000
(317) 823-7002
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001077
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119420
—
IN
Enumeration date
12/18/2007
Last updated
12/19/2012
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