Provider Demographics
NPI:1396198867
Name:COMPLETE CARE PC
Entity Type:Organization
Organization Name:COMPLETE CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVELESS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-924-7611
Mailing Address - Street 1:1305 VETERANS PKWY
Mailing Address - Street 2:SUITE 900
Mailing Address - City:CLARKSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47129-7750
Mailing Address - Country:US
Mailing Address - Phone:812-924-7611
Mailing Address - Fax:
Practice Address - Street 1:1305 VETERANS PKWY
Practice Address - Street 2:SUITE 900
Practice Address - City:CLARKSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47129-7750
Practice Address - Country:US
Practice Address - Phone:812-924-7611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002765A111N00000X
IN71004676B363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult HealthGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty