Organization
EAST WASHINGTON CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY CHARLES WOLF DC (OWNER)
(317) 890-4026
Entity
Organization
Contact information
Practice address
410 SOUTH MITTHOEFFER ROAD, INDIANAPOLIS, IN 46229
(317) 890-4026
(317) 846-1953
Mailing address
410 SOUTH MITTHOEFFER ROAD, INDIANAPOLIS, IN 46229
(317) 890-4026
(317) 846-1953
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001011
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201266070 A
—
IN
Enumeration date
02/23/2007
Last updated
11/15/2016
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