Organization
CHIRO 1ST PC OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN SANGALANG (SEC/TREAS - OFFICE MANAGER)
(317) 898-5800
Entity
Organization
Contact information
Practice address
11020 E 10TH ST UNIT B, INDIANAPOLIS, IN 46229-3710
(317) 898-5800
(317) 898-5883
Mailing address
11020 E 10TH ST UNIT B, INDIANAPOLIS, IN 46229-3710
(317) 898-5800
(317) 898-5883
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
01017401A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063611325
GROUP NPI
IN
01
—
1568510501
NPI - DR. SANGALANG
IN
01
—
1952320772
NPI - DR. BREWER
IN
Enumeration date
09/24/2009
Last updated
09/24/2009
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