Individual
DR. JOHN MICHAEL PHELAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
15 S MAIN ST, KNOX, IN 46534-1413
(574) 772-5771
(574) 772-7715
Mailing address
15 S MAIN ST, KNOX, IN 46534-1413
(574) 772-5771
(574) 772-7715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000997A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200071670A
—
IN
Enumeration date
09/16/2006
Last updated
10/29/2019
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