Akron Family Chiropractic, LLC
Organization Active NPI Chiropractor · Akron, IN
NPI 1720417751 · NPPES record last updated Nov 12, 2013
Key facts
- NPI
- 1720417751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002701A (IN)
- Legal business name
- AKRON FAMILY CHIROPRACTIC, LLC
- Practice address
- 12106 E State Road 114
Akron, IN 46910-9416 - Phone
- (574) 893-4131
- NPI assigned
- Nov 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Jesse Shultz, D.C.
- Title
- Owner
- Phone
- (574) 893-4131
Practitioners 3
-
Jesse Porter Shultz, D.C.
-
Renee Kathleen Shultz, D.C.
-
James E. Morgan, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140228001941 | IN | Part B Supplier - Clinic/Group Practice | 6608006192 |
Receives reassigned benefits from 2 practitioners Practice locations: Akron, IN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08002701A | IN | Yes |
Addresses
Primary practice location
12106 E State Road 114
Akron, IN 46910-9416
Mailing address
12106 E State Road 114
PO Box 206
Akron, IN 46910-9416
Phone (574) 893-4131
Other providers in Akron, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2013. 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.