Provider Demographics
NPI:1376634303
Name:METZ, ROBERT DOUGLAS (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DOUGLAS
Last Name:METZ
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 1:5256 CHEROKEE CT
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-8007
Mailing Address - Country:US
Mailing Address - Phone:317-581-9919
Mailing Address - Fax:
Practice Address - Street 1:12800 N. MERIDIAN ST
Practice Address - Street 2:SUITE 190
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-9422
Practice Address - Country:US
Practice Address - Phone:800-848-3555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC23621111N00000X
CT00573111N00000X
IDCHIA-517111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor