Provider Demographics
NPI:1518130152
Name:NEW PALESTINE CHIROPRACTIC INC
Entity Type:Organization
Organization Name:NEW PALESTINE CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LANCE
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-861-4300
Mailing Address - Street 1:4056 S. ARBOR LANE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-0476
Mailing Address - Country:US
Mailing Address - Phone:317-861-4300
Mailing Address - Fax:317-861-6652
Practice Address - Street 1:4056 S. ARBOR LN
Practice Address - Street 2:SUITE 100
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-0476
Practice Address - Country:US
Practice Address - Phone:317-861-4300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-03
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001196A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000091126OtherANTHEM PIN NUMBER
IN100127810AMedicaid
IN000000091126OtherANTHEM PIN NUMBER
IN322780Medicare PIN