Provider Demographics
NPI:1942397898
Name:ASSOCIATED CHIROPRACTIC SPECIALISTS, PC
Entity Type:Organization
Organization Name:ASSOCIATED CHIROPRACTIC SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MCVEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-242-2225
Mailing Address - Street 1:425 E MARGARET DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3755
Mailing Address - Country:US
Mailing Address - Phone:812-242-2225
Mailing Address - Fax:812-232-6234
Practice Address - Street 1:425 E MARGARET DR
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3755
Practice Address - Country:US
Practice Address - Phone:812-242-2225
Practice Address - Fax:812-232-6234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN51000335A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000113172OtherBLUE CROSS
IN200301050AMedicaid
IN150270Medicare ID - Type Unspecified
IN200301050AMedicaid