Organization
BOTTORFF ADVANCED CHIROPRACTIC INC
Active
Other names
John M Bottorff, Jr., D.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN M BOTTORFF JR. D.C., C.C.S.T. (OWNER/CHIROPRACTOR)
(765) 362-8833
Entity
Organization
Contact information
Practice address
1709 E MAIN ST, CRAWFORDSVILLE, IN 47933-3146
(765) 362-8833
(765) 362-8852
Mailing address
1709 E MAIN ST, CRAWFORDSVILLE, IN 47933-3146
(765) 362-8833
(765) 362-8852
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000386843
ANTHEM
IN
01
—
4351321
AETNA
IN
Enumeration date
07/08/2006
Last updated
04/08/2013
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