Individual
BRADLEY R RALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9302 N MERIDIAN ST, STE 299, INDIANAPOLIS, IN 46260-1842
(317) 848-6000
(317) 848-6000
Mailing address
9302 N MERIDIAN ST, STE 299, INDIANAPOLIS, IN 46260-1842
(317) 848-6000
(317) 848-6011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08001899A
IN
111NN0400X
Neurology Chiropractor
Primary
08001899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000198956
BLUE CROSS/BLUE SHIELD
—
05
—
200363370A
—
IN
Enumeration date
06/04/2006
Last updated
09/27/2016
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