Provider Demographics
NPI:1427374099
Name:BISER CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BISER CHIROPRACTIC LLC
Other - Org Name:PROGRESSIVE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:BISER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-288-3619
Mailing Address - Street 1:PO BOX 503026
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46250-8026
Mailing Address - Country:US
Mailing Address - Phone:317-288-3619
Mailing Address - Fax:
Practice Address - Street 1:10412 ALLISONVILLE RD STE 203
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2030
Practice Address - Country:US
Practice Address - Phone:317-288-3619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-07
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002403A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty