Provider Demographics
NPI:1437620309
Name:CHIROPRACTIC SPECIALISTS OF INDIANA, LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC SPECIALISTS OF INDIANA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DION
Authorized Official - Middle Name:
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-887-4800
Mailing Address - Street 1:3961 GOLF BAG LN
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-8145
Mailing Address - Country:US
Mailing Address - Phone:812-887-4800
Mailing Address - Fax:
Practice Address - Street 1:90 EXECUTIVE DR STE E2
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2611
Practice Address - Country:US
Practice Address - Phone:765-828-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies