| Dr Ahmad Sprouse, DC | |
|
8145 Kennedy Ave, Highland, IN 46322-1128 | |
| (219) 803-6630 | |
| Not Available |
| Full Name | Dr Ahmad Sprouse |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 13 Years |
| Location | 8145 Kennedy Ave, Highland, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205293800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08002742A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrated Body And Medicine Pc | 7416366687 | 2 |
| Provider Name | Integrated Body And Medicine Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407404569 PECOS PAC ID: 7416366687 Enrollment ID: O20210429002599 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ahmad Sprouse, DC 8145 Kennedy Ave, Highland, IN 46322-1128 Ph: (219) 803-6630 | Dr Ahmad Sprouse, DC 8145 Kennedy Ave, Highland, IN 46322-1128 Ph: (219) 803-6630 |
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