Wasserstrom, Michael Scott

Wasserstrom, Michael Scott is an individual health care provider with primary practice located at 120 E Carmel Dr , Carmel IN 46032-2633. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wasserstrom, Michael Scott can be contacted via phone (317) 844-7000.

Contact Information

Primary practice address
120 E Carmel Dr Carmel IN 46032-2633
Fax: (317) 844-3268
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001875A Indiana

Profile Details

NPI number 1538111034
LBN Legal business name Wasserstrom, Michael Scott
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 3rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538111034 NPPES
Indiana MEDICAID 200249330A
Indiana Other 000000175475

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