Provider Demographics
NPI:1023268349
Name:OLIO CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:OLIO CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:ARNOLD
Authorized Official - Last Name:LOPAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-849-2200
Mailing Address - Street 1:11394 OLIO RD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-7605
Mailing Address - Country:US
Mailing Address - Phone:317-849-2200
Mailing Address - Fax:317-849-2212
Practice Address - Street 1:11394 OLIO RD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-7605
Practice Address - Country:US
Practice Address - Phone:317-849-2200
Practice Address - Fax:317-849-2212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001956A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty