Organization
INDY SPORTS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN LYNN BISESI DC (CHIROPRACTOR)
(317) 580-0000
Entity
Organization
Contact information
Practice address
75 EXECUTIVE DR STE J, CARMEL, IN 46032-2993
(317) 580-0000
(317) 927-8621
Mailing address
75 EXECUTIVE DR STE J, CARMEL, IN 46032-2993
(317) 580-0000
(317) 927-8621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
080001647
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000092392
ANTHEM
IN
Enumeration date
10/23/2006
Last updated
06/10/2019
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