Individual
DR. JEFFREY R MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. C.
Contact information
Practice address
1541 S SCATTERFIELD RD, STE A, ANDERSON, IN 46016-5784
(765) 649-1991
(765) 649-3383
Mailing address
407 E MARKET ST, STE 102, CRAWFORDSVILLE, IN 47933-1852
(765) 362-1500
(765) 361-8919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002470A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000729295
ANTHEM INDIVIDUAL PIN
IN
05
—
200959690
—
IN
01
—
M400055076
MEDICARE PTAN INDIVIDUAL
IN
Enumeration date
07/09/2009
Last updated
10/24/2016
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