Organization
WHITE RIVER CLINIC OF CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CHRISTOPHER NELSON D.C. (PRESIDENT)
(812) 376-6200
Entity
Organization
Contact information
Practice address
5536 25TH ST, COLUMBUS, IN 47203-3348
(812) 376-6200
(812) 376-7003
Mailing address
5536 25TH ST, COLUMBUS, IN 47203-3348
(812) 376-6200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002634A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942590997
INDIVIDUAL NATIONAL PROVIDER IDENTIFIER
—
Enumeration date
07/09/2012
Last updated
07/09/2012
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