Organization
BACK IN ACTION CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL RENE O'DONNELL D.C. (PRESIDENT)
(260) 625-5144
Entity
Organization
Contact information
Practice address
10443 LLINOIS ROAD, FORT WAYNE, IN 46814
(260) 625-5144
(260) 625-5264
Mailing address
10443 LLINOIS ROAD, FORT WAYNE, IN 46814
(260) 625-5144
(260) 625-5264
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002467A
IN
Other
Enumeration date
08/06/2009
Last updated
02/23/2018
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