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Organization

AHMAD R. SPROUSE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AHMAD RA'SHAD SPROUSE D.C. (INDEPENDENT CONTRACTOR)
(219) 576-2313
Entity
Organization

Contact information

Practice address
1496 POPE CT STE 3, CHESTERTON, IN 46304-5303
(219) 926-8522
(211) 926-7513
Mailing address
1496 POPE CT, CHESTERTON, IN 46304-5302
(219) 926-8522
(219) 926-7513

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
080002742A
IN

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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