Organization
CHIRO 1ST PC OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN M SANGALANG DC (OWNER)
(317) 898-5800
Entity
Organization
Contact information
Practice address
11020 E 10TH ST, UNIT B, INDIANAPOLIS, IN 46229-3710
(317) 898-5800
(317) 898-5883
Mailing address
11020 E 10TH ST, UNIT B, INDIANAPOLIS, IN 46229-3710
(317) 898-5800
(317) 898-5883
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001241A
IN
111N00000X
Chiropractor
—
—
208100000X
Physical Medicine & Rehabilitation Physician
01017401A
IN
208D00000X
General Practice Physician
01017401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568510501
INDIVIDUAL NPI 1568510501
IN
01
—
1952320772
INDIVIDUAL NPI DR. ROBERT BREWER
IN
Enumeration date
07/16/2007
Last updated
07/09/2024
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