Organization
MISKELLY CHIROPRACTIC CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM J MISKELLY D. C. (PRESIDENT)
(260) 747-1596
Entity
Organization
Contact information
Practice address
2811 LOWER HUNTINGTON RD, FORT WAYNE, IN 46809-2616
(260) 747-1596
(260) 747-1597
Mailing address
2811 LOWER HUNTINGTON RD, FORT WAYNE, IN 46809-2616
(260) 747-1596
(260) 747-1597
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
08000497A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175462
BC/BS
IN
01
—
048870
MEDICARE
IN
Enumeration date
03/10/2008
Last updated
03/10/2008
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