| Chiromed Plus, Llc | |
|
407 E Market St Ste 102 Crawfordsville IN 47933-1852 | |
| (765) 362-1500 | |
| (765) 361-8919 |
| Full Name | Chiromed Plus, Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 407 E Market St, Crawfordsville, Indiana |
| Authorized Official Name and Position | Jeffrey R. Mcintyre (OWNER) |
| Authorized Official Contact | 7653621500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chiromed Plus, Llc 407 E Market St Ste 102 Crawfordsville IN 47933-1852 Ph: (765) 362-1500 | Chiromed Plus, Llc 407 E Market St Ste 102 Crawfordsville IN 47933-1852 Ph: (765) 362-1500 |
| NPI Number | 1881007722 |
|---|---|
| Provider Enumeration Date | 06/09/2014 |
| Last Update Date | 02/24/2015 |
| Medicare PECOS PAC ID | 7416174347 |
|---|---|
| Medicare Enrollment ID | O20140815001929 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881007722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | William Lee Wixom |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1578594933 PECOS PAC ID: 9234119157 Enrollment ID: I20040722000002 |
| Provider Name | Teddy J Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053336289 PECOS PAC ID: 5597761734 Enrollment ID: I20061011000782 |
| Provider Name | Jeffrey R Mcintyre |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376772525 PECOS PAC ID: 6507902087 Enrollment ID: I20091014000363 |
| Provider Name | Devon T Mcgillem |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1225264245 PECOS PAC ID: 1456498286 Enrollment ID: I20091027000389 |
| Provider Name | John E Loudermilk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780996918 PECOS PAC ID: 1658514450 Enrollment ID: I20141231000357 |
| Provider Name | Jacob Charles Howarth |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1013529668 PECOS PAC ID: 6103226600 Enrollment ID: I20210621000203 |
| Provider Name | Krystal Mcintyre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265132039 PECOS PAC ID: 3971948886 Enrollment ID: I20240301001801 |
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