Active Chiropractic Clinic Inc

LBN: Active Chiropractic Clinic Inc
Active Chiropractic Clinic Inc is an health care organization with primary practice located at 5845 Sunnyside Rd Suite 800, Indianapolis IN 46235-8402. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Active Chiropractic Clinic Inc can be contacted via phone (317) 826-2273, or through Kistler, Timothy J via phone (317) 826-2273.

Contact Information

Primary practice address
5845 Sunnyside Rd Suite 800 Indianapolis IN 46235-8402
Phone: (317) 826-2273
Fax: (317) 826-2673
Website:
Map and Directions
Authorized official contact:
Name: Kistler, Timothy J Doctor of Chiropractic (DC)
Phone: (317) 826-2273

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 08001237 Indiana

Profile Details

NPI number 1427233485
LBN Legal business name Active Chiropractic Clinic Inc
DBA Doing business as
Authorized official Kistler, Timothy J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2008
Last updated Feb 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427233485 NPPES
Indiana Other P00006924 RR MEDICARE
Indiana Other 000000344943 RR MEDICARE

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