Individual
JACOB ODELL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2413 N MERIDIAN ST, INDIANAPOLIS, IN 46208
(317) 924-5250
Mailing address
2413 N MERIDIAN ST, INDIANAPOLIS, IN 46208-5854
(317) 924-5250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002512A
IN
111N00000X
Chiropractor
10798
TX
Other
Enumeration date
05/10/2008
Last updated
11/15/2011
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