Veronica Lynn Woodrum, DC
Individual provider Active NPI Chiropractor · Fortville, IN
NPI 1124358387 · NPPES record last updated Jan 11, 2010
Key facts
- NPI
- 1124358387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002483A (IN)
- Practice address
- 122 N Main St
Fortville, IN 46040-1311 - Phone
- (317) 485-3167
- NPI assigned
- Jan 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08002483A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fortville Chiropractic LLC | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002483A | IN | Yes |
Addresses
Primary practice location
122 N Main St
Fortville, IN 46040-1311
Mailing address
409 Illinois St
Fortville, IN 46040-1020
Phone (317) 250-0332
Other providers in Fortville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.