Provider Demographics
NPI:1528378734
Name:ZIONSVILLE CHIROPRACTIC AND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:ZIONSVILLE CHIROPRACTIC AND REHABILITATION CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHELSEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:SMILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-228-9701
Mailing Address - Street 1:8870 ZIONSVILLE RD, STE B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-2837
Mailing Address - Country:US
Mailing Address - Phone:317-228-9701
Mailing Address - Fax:317-228-9702
Practice Address - Street 1:8870 ZIONSVILLE RD
Practice Address - Street 2:SUITE B
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1043
Practice Address - Country:US
Practice Address - Phone:317-228-9701
Practice Address - Fax:317-228-9702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002497A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty