Organization
HEAVIN CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J KENT HEAVIN DC (PRESIDENT/OWNER/CHIROPRACTOR)
(317) 757-5016
Entity
Organization
Contact information
Practice address
130 E EPLER AVE, SUITE C, INDIANAPOLIS, IN 46227-1996
(317) 757-5016
(317) 757-5276
Mailing address
130 E. EPLER AVENUE, SUITE C, INDIANAPOLIS, IN 46227-1987
(317) 757-5016
(317) 757-5276
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000760A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100140490
—
IN
Enumeration date
07/22/2014
Last updated
06/09/2015
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