Organization
IN LINE SPINE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ROBERT DIEDRICH DC (OWNER CHIROPRACTOR)
(317) 578-0340
Entity
Organization
Contact information
Practice address
7814 E 96TH STREET, FISHERS, IN 46064-9629
(317) 578-0340
(317) 578-0340
Mailing address
7814 E 96TH STREET, FISHERS, IN 46064-9629
(317) 578-0340
(317) 578-0340
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002182A
IN
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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