Individual
DR. CAROLE A BRASTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
300 S MADISON AVE STE 103, GREENWOOD, IN 46142-3124
(317) 882-3280
(317) 882-3281
Mailing address
300 S MADISON AVE STE 103, GREENWOOD, IN 46142-3124
(317) 882-3280
(317) 882-3281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000991A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226230B
—
IN
Enumeration date
05/12/2006
Last updated
05/07/2009
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