Organization
BROAD RIPPLE AVE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC B MORRIS D.C. (PRESIDENT/OWNER)
(317) 255-4222
Entity
Organization
Contact information
Practice address
4760 E 62ND ST, INDIANAPOLIS, IN 46220-5234
(317) 255-4222
(317) 251-3801
Mailing address
PO BOX 20884, INDIANAPOLIS, IN 46220-0884
(317) 255-4222
(317) 251-3801
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IN08001498
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222754
BLUE CROSS/BLUE SHIELD
IN
05
—
100441610
—
IN
Enumeration date
09/13/2007
Last updated
05/07/2008
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