Provider Demographics
NPI:1497820302
Name:INTEGRITY CHIROPRACTIC ASSOCIATES LLC
Entity Type:Organization
Organization Name:INTEGRITY CHIROPRACTIC ASSOCIATES LLC
Other - Org Name:HEALTH CENTERED CHIROPRACTIC OF VERSAILLES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:W
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-689-3257
Mailing Address - Street 1:PO BOX 596
Mailing Address - Street 2:
Mailing Address - City:VERSAILLES
Mailing Address - State:IN
Mailing Address - Zip Code:47042-0596
Mailing Address - Country:US
Mailing Address - Phone:812-689-6325
Mailing Address - Fax:812-689-1717
Practice Address - Street 1:1154 S RIPLEY ESTATES DR
Practice Address - Street 2:
Practice Address - City:VERSAILLES
Practice Address - State:IN
Practice Address - Zip Code:47042
Practice Address - Country:US
Practice Address - Phone:812-689-3257
Practice Address - Fax:812-689-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001964A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty