Organization
ADVANTAGE CARE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHELLE ROEDER (SOLE MEMBER)
(317) 299-5800
Entity
Organization
Contact information
Practice address
2818 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-2914
(317) 299-5800
Mailing address
2818 N HIGH SCHOOL RD, INDIANAPOLIS, IN 46224-2914
(317) 299-5800
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200099620A
—
IN
Enumeration date
08/26/2009
Last updated
08/26/2009
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