Provider Demographics
NPI:1598813008
Name:PRATHER, ROBERT C (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:C
Last Name:PRATHER
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:2439 LAUREL LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-8902
Mailing Address - Country:US
Mailing Address - Phone:317-733-0064
Mailing Address - Fax:317-873-9938
Practice Address - Street 1:8902 N MERIDIAN ST STE 101
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-5306
Practice Address - Country:US
Practice Address - Phone:317-848-8048
Practice Address - Fax:317-575-8807
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN972111NI0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NI0900XChiropractic ProvidersChiropractorInternist