Organization
DZM, PC
Active
Other names
Williams Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A. WILLIAMS DC (OWNER)
(317) 856-0880
Entity
Organization
Contact information
Practice address
3819 KENTUCKY AVE, INDIANAPOLIS, IN 46221-2709
(317) 856-0880
(317) 856-0886
Mailing address
3819 KENTUCKY AVE, INDIANAPOLIS, IN 46221-2709
(317) 856-0880
(317) 856-0886
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001097
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000180240
ANTHEM BCBS
—
05
—
100069160
—
IN
Enumeration date
02/18/2009
Last updated
12/13/2011
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