Organization
BEECH GROVE CHIROPRACTIC, INC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WALTER JAMES D. C. (INSURANCE)
(317) 788-0227
Entity
Organization
Contact information
Practice address
3850 SOUTH EMERSON AVENUE, SUITE F, INDIANAPOLIS, IN 46203-5997
(317) 788-0227
(317) 788-0246
Mailing address
3850 S EMERSON AVENUE, SUITE F, INDIANAPOLIS, IN 46203-5997
(317) 788-0227
(317) 788-0246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001592
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200028020A
—
IN
Enumeration date
04/19/2007
Last updated
10/31/2014
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