Organization
PACELLI CHIROPRACTIC HEALTH POTENTIAL COMPLEX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRANDY LADD (COMPLEX MANAGER)
(765) 447-2222
Entity
Organization
Contact information
Practice address
40 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 447-2222
(765) 447-7051
Mailing address
40 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 447-2222
(765) 447-7051
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001812A
IN
111N00000X
Chiropractor
0800547
IN
171100000X
Acupuncturist
84000029A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233030A
—
IN
Enumeration date
05/30/2007
Last updated
12/11/2023
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