Provider Demographics
NPI:1922126804
Name:FAMILY CHIROPRACTIC ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER,PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:LEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:260-925-6686
Mailing Address - Street 1:460 N GRANDSTAFF DR
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:IN
Mailing Address - Zip Code:46706-1659
Mailing Address - Country:US
Mailing Address - Phone:260-925-6686
Mailing Address - Fax:260-925-6689
Practice Address - Street 1:460 N GRANDSTAFF DR
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:IN
Practice Address - Zip Code:46706-1659
Practice Address - Country:US
Practice Address - Phone:260-925-6686
Practice Address - Fax:260-925-6689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001538111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000091344OtherANTHEM
IN5898269OtherAETNA
IN350037444OtherPALMETTO MEDICARE
IN5898269OtherAETNA
IN350037444OtherPALMETTO MEDICARE