Organization
CRAWFORDSVILLE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R MCINTYRE D.C. (OWNER)
(765) 362-1500
Entity
Organization
Contact information
Practice address
407 E MARKET ST, STE 102, CRAWFORDSVILLE, IN 47933-1852
(765) 362-1500
(765) 361-8919
Mailing address
407 E MARKET ST, STE 102, CRAWFORDSVILLE, IN 47933-1852
(765) 362-1500
(765) 361-8919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000729294
ANTHEM PIN
IN
05
—
201040410A
—
IN
Enumeration date
09/01/2011
Last updated
01/31/2015
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