Individual
JACOB KOZIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
316 MAIN ST, BEECH GROVE, IN 46107-1836
(317) 731-7826
(317) 731-7826
Mailing address
14074 TRADE CENTER DR, SUITE 226, FISHERS, IN 46038-4563
(317) 770-5775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002764A
IN
Other
Enumeration date
03/11/2014
Last updated
10/25/2018
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