Organization
G. LYMAN SHAW,D.C.,P.C.
Active
Other names
BROWNSBURG CHIROPRACTIC CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LYMAN SHAW JR. D.C. (PRESIDENT)
(317) 852-3870
Entity
Organization
Contact information
Practice address
17 MOTIF BLVD, BROWNSBURG, IN 46112-1017
(317) 852-3870
(317) 852-7417
Mailing address
17 MOTIF BLVD, BROWNSBURG, IN 46112-1017
(317) 852-3870
(317) 852-7417
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
08001024
IN
111NX0800X
Orthopedic Chiropractor
Primary
08001024
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100133640
—
IN
01
—
342260
MEDICARE
IN
Enumeration date
05/27/2009
Last updated
05/27/2009
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