Provider Demographics
NPI:1134966914
Name:ACTION CHIROPRACTIC
Entity type:Organization
Organization Name:ACTION CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRODY
Authorized Official - Middle Name:
Authorized Official - Last Name:MYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-273-3495
Mailing Address - Street 1:7145 N STATE ROAD 1 STE 1A
Mailing Address - Street 2:
Mailing Address - City:OSSIAN
Mailing Address - State:IN
Mailing Address - Zip Code:46777-8973
Mailing Address - Country:US
Mailing Address - Phone:260-409-8200
Mailing Address - Fax:
Practice Address - Street 1:7145 N STATE ROAD 1 STE 1A
Practice Address - Street 2:
Practice Address - City:OSSIAN
Practice Address - State:IN
Practice Address - Zip Code:46777-8973
Practice Address - Country:US
Practice Address - Phone:260-409-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty