Organization
MERIDIAN STREET SPINE & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ROBERTS (CHIROPRACTOR)
(317) 924-5250
Entity
Organization
Contact information
Practice address
2413 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5854
(317) 924-5250
(317) 924-5251
Mailing address
2413 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5854
(317) 924-5250
(317) 924-5251
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
09/22/2010
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