Provider Demographics
NPI:1831242783
Name:DEISLER, CHRIS REX (DC)
Entity type:Individual
Prefix:DR
First Name:CHRIS
Middle Name:REX
Last Name:DEISLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BOX 215
Mailing Address - Street 2:129 SOUTH MAIN ST.
Mailing Address - City:TOPEKA
Mailing Address - State:IN
Mailing Address - Zip Code:46571
Mailing Address - Country:US
Mailing Address - Phone:260-593-2474
Mailing Address - Fax:
Practice Address - Street 1:BOX 215
Practice Address - Street 2:129 SOUTH MAIN ST.
Practice Address - City:TOPEKA
Practice Address - State:IN
Practice Address - Zip Code:46571
Practice Address - Country:US
Practice Address - Phone:260-593-2474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08000653A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN0000000-96-996OtherANTHEM
IN100159820AMedicaid
IN442690Medicare ID - Type Unspecified