| Indy Sports Chiropractic Pc | |
|
75 Executive Dr Ste J, Carmel, IN 46032-2993 | |
| (317) 580-0000 | |
| (317) 927-8621 |
| Full Name | Indy Sports Chiropractic Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 75 Executive Dr Ste J, Carmel, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790868040 | NPI | - | NPPES |
| 000000092392 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 080001647 (Indiana) | Primary |
| Provider Name | Karen Bisesi |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225083934 PECOS PAC ID: 6901943760 Enrollment ID: I20091027000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Indy Sports Chiropractic Pc 75 Executive Dr Ste J, Carmel, IN 46032-2993 Ph: (317) 580-0000 | Indy Sports Chiropractic Pc 75 Executive Dr Ste J, Carmel, IN 46032-2993 Ph: (317) 580-0000 |
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