Provider Demographics
NPI:1770027229
Name:ANCHOR HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:ANCHOR HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:
Authorized Official - Last Name:BORGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-565-7347
Mailing Address - Street 1:14300 MUNDY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-5100
Mailing Address - Country:US
Mailing Address - Phone:317-565-7347
Mailing Address - Fax:
Practice Address - Street 1:14300 MUNDY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-5100
Practice Address - Country:US
Practice Address - Phone:317-565-7347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-16
Last Update Date:2016-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002945A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty