Provider Demographics
NPI:1376527853
Name:REMPEL, JOHN P (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:P
Last Name:REMPEL
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:PO BOX 74008519 #1305
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60674-8519
Mailing Address - Country:US
Mailing Address - Phone:630-468-1824
Mailing Address - Fax:630-468-1836
Practice Address - Street 1:11685 FOX RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46236-8423
Practice Address - Country:US
Practice Address - Phone:317-823-5800
Practice Address - Fax:317-823-5802
Is Sole Proprietor?:No
Enumeration Date:2005-11-30
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001843A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU85076Medicare UPIN
IN249760AMedicare PIN