Tri State Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

TRI STATE CHIROPRACTIC CLINIC PC

Practice address

2014 N Wayne St
Angola, IN 46703-9102

Phone

(260) 665-3106

NPI assigned

Jan 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gary L Fisher, DC

Title

President

Phone

(260) 665-3106

Specialties & licenses 1

Addresses

Tax ID family

Corrective Chiropractic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tri-State Chiropractic

  • Chiropractor
  • Angola, IN
  • NPI 1841381654
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1487633897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039102",
            "telephone_number": "260-665-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 N WAYNE ST",
            "city": "ANGOLA",
            "state": "IN",
            "postal_code": "467039102",
            "telephone_number": "260-665-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-665-3106",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas International, Inc. (Convalescent Shop)
• Adrianne Thomas, PT
• Blaine Michael Thorp, OD
• Madalyn Rose Thorp, OD
• Travelli Dental Services LLC (Angola Dental Center)
• Tri-State Chiropractic
• Tri-State Medical Imaging Center, LLC
• Todd Trombley, DPT
• Troy N. Holder DDS, Inc.
• Brooklynn Rose Trujillo

• Chiropractor in Angola, IN
• Providers in Angola, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.