Brastock, Carole A
Brastock, Carole A is an sole proprietor health care provider with primary practice located at 300 S Madison Ave Ste 103 , Greenwood IN 46142-3124. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Brastock, Carole A can be contacted via phone (317) 882-3280.Contact Information
Primary practice address
300 S Madison Ave Ste 103
Greenwood IN 46142-3124
Phone: (317) 882-3280
Fax: (317) 882-3281
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 08000991A | Indiana |
Profile Details
| NPI number | 1295785863 |
|---|---|
| LBN Legal business name | Brastock, Carole A |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | May 7th, 2009 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295785863 | NPPES |
| Indiana | MEDICAID | 100226230B |
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