Provider Demographics
NPI:1275234056
Name:DR. TONY ESPINAS, LLC
Entity Type:Organization
Organization Name:DR. TONY ESPINAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCEARSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-529-3215
Mailing Address - Street 1:2606 PEDDLERS VILLAGE RD STE 200
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526-1004
Mailing Address - Country:US
Mailing Address - Phone:574-529-3215
Mailing Address - Fax:
Practice Address - Street 1:2606 PEDDLERS VILLAGE RD STE 200
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:IN
Practice Address - Zip Code:46526-1004
Practice Address - Country:US
Practice Address - Phone:574-529-3215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1750539714OtherNPI