Provider Demographics
NPI:1558588541
Name:FAMILY CARE CHIROPRACTIC OF INDIANA, PC
Entity Type:Organization
Organization Name:FAMILY CARE CHIROPRACTIC OF INDIANA, PC
Other - Org Name:FAMILY CARE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-580-1800
Mailing Address - Street 1:11982 FISHERS CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46038-2702
Mailing Address - Country:US
Mailing Address - Phone:317-580-1800
Mailing Address - Fax:317-436-7640
Practice Address - Street 1:11982 FISHERS CROSSING DR
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2702
Practice Address - Country:US
Practice Address - Phone:317-580-1800
Practice Address - Fax:317-436-7640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001515A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty