Organization
96TH STREET CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL FLYNN D.C. (CHIROPRACTOR/ OWNER)
(317) 598-9696
Entity
Organization
Contact information
Practice address
9598 ALLISONVILLE ROAD, INDIANAPOLIS, IN 46250
(317) 598-9696
Mailing address
PO BOX 501608, INDIANAPOLIS, IN 46250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001549A
IN
Other
Enumeration date
01/14/2009
Last updated
04/25/2014
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