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Contact Information

INDIANAPOLIS SPORT AND SPINE, P.C.
1460 N GREEN ST
SUITE 400
BROWNSBURG, IN46112-7487
 Phone: 317-852-2005
 Fax: 317-852-2353
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for INDIANAPOLIS SPORT AND SPINE, P.C.

NPI Number 1376876730
LBN Legal business name INDIANAPOLIS SPORT AND SPINE, P.C.
Authorized official JASON WELSH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/16/2009
Last updated 09/16/2009 - About 17 years ago
Identifiers
IN License # 08002455A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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