Provider Demographics
NPI:1679049639
Name:DION, ANIKA (DC)
Entity Type:Individual
Prefix:MISS
First Name:ANIKA
Middle Name:
Last Name:DION
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64908 MCINTOSH LANE
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:IN
Mailing Address - Zip Code:46526
Mailing Address - Country:US
Mailing Address - Phone:574-903-6064
Mailing Address - Fax:
Practice Address - Street 1:2521 E. MARKET STREET
Practice Address - Street 2:STE B.
Practice Address - City:NAPPANEE
Practice Address - State:IN
Practice Address - Zip Code:46550
Practice Address - Country:US
Practice Address - Phone:574-773-2220
Practice Address - Fax:574-773-2114
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08003044A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor