Organization
1ST CHOICE MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANE CHRISTOPHER NUNIER DC (PRESIDENT)
(812) 945-4500
Entity
Organization
Contact information
Practice address
2441 STATE ST STE 10, NEW ALBANY, IN 47150-4962
(812) 945-4500
(812) 945-4808
Mailing address
PO BOX 1241, NEW ALBANY, IN 47151-1241
(812) 945-4500
(812) 945-4808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001189A
IN
111N00000X
Chiropractor
Primary
08002214A
IN
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
01046210A
IN
225100000X
Physical Therapist
05005346A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200228020A
—
IN
Enumeration date
03/26/2007
Last updated
10/06/2009
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