Provider Demographics
NPI:1225564842
Name:MOHR CHIROPRACTIC PC
Entity Type:Organization
Organization Name:MOHR CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-272-7000
Mailing Address - Street 1:7390 BUSINESS CENTER DR
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-8662
Mailing Address - Country:US
Mailing Address - Phone:317-272-7000
Mailing Address - Fax:317-272-4302
Practice Address - Street 1:7390 BUSINESS CENTER DR
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-8662
Practice Address - Country:US
Practice Address - Phone:317-272-7000
Practice Address - Fax:317-272-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty