Provider Demographics
NPI:1295948735
Name:MACARI, STACIE J (DC)
Entity type:Individual
Prefix:DR
First Name:STACIE
Middle Name:J
Last Name:MACARI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:75 EXECUTIVE DR
Mailing Address - Street 2:G
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2995
Mailing Address - Country:US
Mailing Address - Phone:317-846-9355
Mailing Address - Fax:317-846-8481
Practice Address - Street 1:75 EXECUTIVE DR
Practice Address - Street 2:G
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2995
Practice Address - Country:US
Practice Address - Phone:317-846-9355
Practice Address - Fax:317-846-8481
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN08002093A111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU80872Medicare UPIN