Provider Demographics
NPI:1326210154
Name:PIXLER, JOHN ALEXANDER (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ALEXANDER
Last Name:PIXLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:903 S COLLEGE MALL RD
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47401-6302
Mailing Address - Country:US
Mailing Address - Phone:812-650-3119
Mailing Address - Fax:812-650-3147
Practice Address - Street 1:903 S COLLEGE MALL RD
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47401-6302
Practice Address - Country:US
Practice Address - Phone:812-650-3119
Practice Address - Fax:812-650-3147
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002424A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor