Organization
INDYCHIRO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC B. MORRIS D.C. (AGENT/MINORITY OWNER)
(317) 255-4222
Entity
Organization
Contact information
Practice address
4760 E 62ND ST, INDIANAPOLIS, IN 46220-5234
(317) 255-4222
(317) 704-4900
Mailing address
PO BOX 20884, INDIANAPOLIS, IN 46220-0884
(317) 255-4222
(317) 704-4900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001498A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222754
BLUE CROSS/ BLUE SHIELD
IN
01
—
08001498A
STATE LICENSE NUMBER
IN
05
—
1004416104
—
IN
Enumeration date
10/08/2010
Last updated
07/15/2014
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