Organization
CORYDON CHIROPRACTIC REHAB & WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER MATHEW STOCK DC (OWNER)
(812) 738-8020
Entity
Organization
Contact information
Practice address
2127 EDSEL LN NW, CORYDON, IN 47112-2030
(812) 738-8020
(812) 738-1760
Mailing address
2127 EDSEL LN NW, CORYDON, IN 47112-2030
(812) 738-8020
(812) 738-1760
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001813A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200221940A
—
IN
Enumeration date
12/13/2011
Last updated
08/03/2015
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