Organization
SPINAL LOGIC CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A WOOLARD D.C. (OWNER)
(317) 745-5111
Entity
Organization
Contact information
Practice address
1300 E MAIN ST, DANVILLE, IN 46122-1983
(317) 745-5111
(317) 745-2435
Mailing address
1300 E MAIN ST, DANVILLE, IN 46122-1983
(317) 745-5111
(317) 745-2435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001667A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200529420A
—
IN
Enumeration date
05/26/2006
Last updated
05/21/2012
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