Provider Demographics
NPI:1790349298
Name:STORM CHIROPRACTIC OF FRANKLIN LLC
Entity Type:Organization
Organization Name:STORM CHIROPRACTIC OF FRANKLIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:STORM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-885-8520
Mailing Address - Street 1:622 N MADISON AVE STE 7AND8
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-4082
Mailing Address - Country:US
Mailing Address - Phone:317-509-7288
Mailing Address - Fax:
Practice Address - Street 1:701 W MADISON ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2148
Practice Address - Country:US
Practice Address - Phone:317-885-8520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-30
Last Update Date:2019-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty