Organization
HEALTHSOURCE CHIROPRACTIC OF WESTFIELD LLC
Active
Other names
Stacey Young
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STACEY YOUNG DC (OWNER)
(317) 757-9442
Entity
Organization
Contact information
Practice address
785 E MAIN ST, WESTFIELD, IN 46074-9440
(317) 757-9442
Mailing address
785 E MAIN ST, WESTFIELD, IN 46074-9440
(317) 757-9442
(318) 804-8300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002515A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08002515A
CHIROPRACTIC LICENSE
IN
Enumeration date
08/28/2012
Last updated
11/25/2014
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