Provider Demographics
NPI:1043452147
Name:MINKIS CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MINKIS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:JANETTE
Authorized Official - Last Name:MINKIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-388-1118
Mailing Address - Street 1:8601 N COUNTY ROAD 1050 E
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-9620
Mailing Address - Country:US
Mailing Address - Phone:317-388-1118
Mailing Address - Fax:317-297-3891
Practice Address - Street 1:8601 N COUNTY ROAD 1050 E
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-9620
Practice Address - Country:US
Practice Address - Phone:317-388-1118
Practice Address - Fax:317-297-3891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-03
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001275A261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center