Provider Demographics
NPI:1275768541
Name:HEALTHZONE CHIROPRACTIC #9
Entity Type:Organization
Organization Name:HEALTHZONE CHIROPRACTIC #9
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:WOOLARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-745-5111
Mailing Address - Street 1:20 EXECUTIVE DR
Mailing Address - Street 2:SUITE F
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2921
Mailing Address - Country:US
Mailing Address - Phone:317-846-4400
Mailing Address - Fax:
Practice Address - Street 1:20 EXECUTIVE DR
Practice Address - Street 2:SUITE F
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2921
Practice Address - Country:US
Practice Address - Phone:317-846-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-15
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty