Family Chiropractic PC
Organization Active NPI Chiropractor · Wabash, IN
NPI 1487625166 · NPPES record last updated Jul 17, 2007
Key facts
- NPI
- 1487625166
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08001655 (IN)
- Legal business name
- FAMILY CHIROPRACTIC PC
- Practice address
- 1940 S Wabash St
Wabash, IN 46992 - Phone
- (260) 563-2222
- Fax
- (260) 569-0579
- NPI assigned
- Jan 30, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Todd J Elliott, DC
- Title
- Chiropractor Owner
- Phone
- (260) 563-2222
Practitioners 2
-
Todd J. Elliott, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101011001171 | IN | Part B Supplier - Clinic/Group Practice | 9436341252 |
Receives reassigned benefits from 2 practitioners Practice locations: Wabash, IN |
National Provider Directory
Locations
1940 S Wabash St
Wabash, IN 46992
Phone (260) 563-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08001655 | IN | Yes |
Addresses
Primary practice location
1940 S Wabash St
Wabash, IN 46992
Mailing address
1940 S Wabash St
Wabash, IN 46992
Phone (260) 563-2222
Other providers in Wabash, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.