Organization
CHIROPRACTIC REHABILITATION AND ACUPUNCTURE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT WAYNE FERGUSON DC (OWNER)
(317) 876-7826
Entity
Organization
Contact information
Practice address
2250 WEST 86TH STREET, SUITE 100, INDIANAPOLIS, IN 46260-1965
(317) 876-7826
Mailing address
2250 WEST 86TH STREET, SUITE 100, INDIANAPOLIS, IN 46260-1965
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2009665920
—
IN
Enumeration date
03/24/2023
Last updated
03/24/2023
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