Organization
UNITED CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELAINE GUNN (OFFICE MANAGER)
(317) 774-2998
Entity
Organization
Contact information
Practice address
16095 PROSPERITY DR STE 100, NOBLESVILLE, IN 46060-4259
(317) 774-2998
Mailing address
16095 PROSPERITY DR STE 100, NOBLESVILLE, IN 46060-4259
(317) 774-2998
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002074A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000287601
ANTHEM
IN
01
—
0007319468
AETNA
IN
Enumeration date
01/05/2007
Last updated
08/22/2020
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