Provider Demographics
NPI:1568037851
Name:O HEALTH CENTER
Entity Type:Organization
Organization Name:O HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE-JUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-204-4285
Mailing Address - Street 1:8202 CLEARVISTA PKWY STE 9F
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-1457
Mailing Address - Country:US
Mailing Address - Phone:317-204-4285
Mailing Address - Fax:317-204-4819
Practice Address - Street 1:8202 CLEARVISTA PKWY STE 9F
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-1457
Practice Address - Country:US
Practice Address - Phone:317-204-4285
Practice Address - Fax:317-204-4819
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty