| Brauchla Family Chiropractic Professional Corporation | |
|
523 W 38th St, Anderson, IN 46013-4021 | |
| (765) 642-7246 | |
| (765) 642-6986 |
| Full Name | Brauchla Family Chiropractic Professional Corporation |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 523 W 38th St, Anderson, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083898514 | NPI | - | NPPES |
| 200512770A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08002193A (Indiana) | Primary |
| 111N00000X | Chiropractor | 2301008788 (Michigan) | Secondary |
| 111N00000X | Chiropractor | 08002181A (Indiana) | Secondary |
| Provider Name | Kelly A Brauchla |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912990185 PECOS PAC ID: 2264414655 Enrollment ID: I20050602000891 |
| Provider Name | Clinton Lee Brauchla |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1902899172 PECOS PAC ID: 0446293252 Enrollment ID: I20050602000977 |
| Mailing Address | Practice Location Address |
|---|---|
| Brauchla Family Chiropractic Professional Corporation 523 W 38th St, Anderson, IN 46013-4021 Ph: (765) 642-7246 | Brauchla Family Chiropractic Professional Corporation 523 W 38th St, Anderson, IN 46013-4021 Ph: (765) 642-7246 |
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