Individual
DR. JON JOSEPH STANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5674 CAITO DR, SUITE 110, INDIANAPOLIS, IN 46226-1375
(317) 823-7000
Mailing address
PO BOX 36365, INDIANAPOLIS, IN 46236-0365
(317) 823-7000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001077
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100119420
—
IN
Enumeration date
11/01/2006
Last updated
07/29/2015
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