Individual
CASSIE LYNNE MINAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1515 N STATE ST, GREENFIELD, IN 46140-1066
(317) 467-4300
(317) 467-4521
Mailing address
1515 N STATE ST, GREENFIELD, IN 46140-1066
(317) 467-4300
(317) 467-4521
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002379A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000556195
BLUE CROSS / BLUE SHIELD
IN
01
—
08002379A
LICENSE
IN
Enumeration date
03/12/2008
Last updated
07/17/2008
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