Kennedy Ave Wellness

LBN: Kennedy Avenue Chiropractic
Kennedy Ave Wellness is an health care organization with primary practice located at 8145 Kennedy Ave , Highland IN 46322-1128. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Kennedy Avenue Chiropractic can be contacted via phone (219) 803-6630, or through Sprouse, Ahmad R via phone (219) 629-2312.

Contact Information

Primary practice address
8145 Kennedy Ave Highland IN 46322-1128
Phone: (219) 803-6630
Fax: (219) 937-7237
Website:
Map and Directions
Authorized official contact:
Name: Sprouse, Ahmad R Doctor of Chiropractic (DC)
Phone: (219) 629-2312

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1538635214
LBN Legal business name Kennedy Avenue Chiropractic
DBA Doing business as Kennedy Ave Wellness
Authorized official Sprouse, Ahmad R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2018
Last updated Mar 1st, 2022 - about 3 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 1538635214 NPPES
Indiana MEDICAID 300013370

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