Organization
FORTVILLE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA LYNN WOODRUM DC (OWNER)
(317) 485-3167
Entity
Organization
Contact information
Practice address
122 N MAIN ST, FORTVILLE, IN 46040-1311
(317) 485-3167
Mailing address
122 N MAIN ST, FORTVILLE, IN 46040-1311
(317) 485-3167
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002483A
IN
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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