Provider Demographics
NPI:1255341780
Name:SELL, MARICA C (DC)
Entity type:Individual
Prefix:DR
First Name:MARICA
Middle Name:C
Last Name:SELL
Suffix:
Gender:F
Credentials:DC
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Mailing Address - Street 1:1169 N MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BLUFFTON
Mailing Address - State:IN
Mailing Address - Zip Code:46714-1360
Mailing Address - Country:US
Mailing Address - Phone:260-824-9944
Mailing Address - Fax:260-824-9945
Practice Address - Street 1:1169 N MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-1360
Practice Address - Country:US
Practice Address - Phone:260-824-9944
Practice Address - Fax:260-824-9945
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN08001049A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
INT34720Medicare UPIN