Organization
GRANT FAMILY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA JO GRANT D.C. (OWNER)
(317) 219-0354
Entity
Organization
Contact information
Practice address
585 SHERIDAN RD, NOBLESVILLE, IN 46060-1317
(317) 219-0354
(317) 219-3083
Mailing address
585 SHERIDAN RD, NOBLESVILLE, IN 46060-1317
(317) 219-0354
(317) 219-3083
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002113A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504008
BLUE CROSS BLUE SHIELD
IN
05
—
200838160A
—
IN
01
—
703858
UNITED HEALTH CARE
—
Enumeration date
11/08/2006
Last updated
05/14/2014
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