Organization
CRAWFORDSVILLE CHIROTEAM, INC
Active
Other names
crawfordsville chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON A BRADBURY DC (PRESIDENT)
(765) 362-1500
Entity
Organization
Contact information
Practice address
502 E MARKET ST, CRAWFORDSVILLE, IN 47933-1817
(765) 362-1500
(765) 361-8919
Mailing address
502 E MARKET ST, CRAWFORDSVILLE, IN 47933-1817
(765) 362-1500
(765) 361-8919
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001892A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000369272
ANTHEM BLUE CROSS SHIELD
IN
Enumeration date
01/29/2007
Last updated
08/22/2020
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