Individual
DR. JOHN KARDYNALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2974 N LAKEWOOD CT, BLOOMINGTON, IN 47408-1081
(812) 339-4430
(812) 339-4476
Mailing address
2974 N LAKEWOOD CT, BLOOMINGTON, IN 47408-1081
(812) 339-4430
(812) 339-4476
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001673A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000186894
ANTHEM BC/BS PROVIDER #
IN
05
—
200166940A
—
IN
01
—
35201388001
SAGAMORE PROVIDER#
IN
01
—
352013880A
SIHO
IN
Enumeration date
11/25/2005
Last updated
09/26/2008
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