Provider Demographics
NPI:1902409105
Name:FLORA CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:FLORA CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SPESARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:574-967-4900
Mailing Address - Street 1:701 E COLUMBIA ST
Mailing Address - Street 2:
Mailing Address - City:FLORA
Mailing Address - State:IN
Mailing Address - Zip Code:46929-1410
Mailing Address - Country:US
Mailing Address - Phone:574-967-4900
Mailing Address - Fax:574-967-3111
Practice Address - Street 1:701 E COLUMBIA ST
Practice Address - Street 2:
Practice Address - City:FLORA
Practice Address - State:IN
Practice Address - Zip Code:46929-1410
Practice Address - Country:US
Practice Address - Phone:574-967-4900
Practice Address - Fax:574-967-3111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN1932629474OtherNPI NUMBER