Provider Demographics
NPI:1336557776
Name:PURE FAMILY CHIROPRACTIC CARMEL LLC
Entity Type:Organization
Organization Name:PURE FAMILY CHIROPRACTIC CARMEL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:R
Authorized Official - Last Name:EYLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-587-1900
Mailing Address - Street 1:2776 E 146TH ST
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-7718
Mailing Address - Country:US
Mailing Address - Phone:317-587-1900
Mailing Address - Fax:317-245-2111
Practice Address - Street 1:2776 E 146TH ST
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-7718
Practice Address - Country:US
Practice Address - Phone:317-587-1900
Practice Address - Fax:317-245-2111
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INNATE INTELLIGENCE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002653A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty