Provider Demographics
NPI:1841598281
Name:MCCARLEY CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:MCCARLEY CHIROPRACTIC, LLC
Other - Org Name:MCCARLEY CHIROPRACTIC: A CREATING WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:MCCARLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-565-1726
Mailing Address - Street 1:255 S 10TH ST
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-2737
Mailing Address - Country:US
Mailing Address - Phone:317-565-1726
Mailing Address - Fax:317-282-0670
Practice Address - Street 1:255 S 10TH ST
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-2737
Practice Address - Country:US
Practice Address - Phone:317-565-1726
Practice Address - Fax:317-282-0670
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-09
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002302A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty