Provider Demographics
NPI:1407887235
Name:HEALTHFIRST 003 LLC
Entity Type:Organization
Organization Name:HEALTHFIRST 003 LLC
Other - Org Name:BRIGHT CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-839-3900
Mailing Address - Street 1:144 N. PERRY RD.
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-9025
Mailing Address - Country:US
Mailing Address - Phone:317-839-3900
Mailing Address - Fax:317-838-5452
Practice Address - Street 1:144 N. PERRY RD.
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-9025
Practice Address - Country:US
Practice Address - Phone:317-839-3900
Practice Address - Fax:317-838-5452
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002183A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200893270AMedicaid
IN250060Medicare PIN