Organization
GROTE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA GROTE (CHIROPRACTOR)
(260) 724-2510
Entity
Organization
Contact information
Practice address
222 N 1ST ST, DECATUR, IN 46733-1306
(260) 724-2510
(260) 724-2945
Mailing address
222 N 1ST ST, DECATUR, IN 46733-1306
(260) 724-2510
(260) 724-2945
Taxonomy
Speciality
Code
Description
License number
State
111NI0013X
Independent Medical Examiner Chiropractor
Primary
08000862A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000276950
ANTHEM
IN
Enumeration date
05/14/2008
Last updated
05/14/2008
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