Organization
EAGLE CREEK CHIROPRACTIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCAS PATRICK BROMLEY D.C. (PRESIDENT/OWNER)
(317) 299-3330
Entity
Organization
Contact information
Practice address
3820 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-2709
(317) 299-3330
(317) 299-0404
Mailing address
3820 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46254-2709
(317) 299-3330
(317) 299-0404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001056
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066750A
—
IN
Enumeration date
01/23/2008
Last updated
03/31/2016
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