Hutsell Chiropractic PC
Organization Active NPI Chiropractor · Nappanee, IN
NPI 1861763633 · NPPES record last updated Nov 30, 2015
Key facts
- NPI
- 1861763633
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08000964 (IN)
- Legal business name
- HUTSELL CHIROPRACTIC PC
- Practice address
- 301 N Main St
Nappanee, IN 46550-1621 - Phone
- (574) 773-4423
- Fax
- (574) 773-2467
- NPI assigned
- Jan 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark D Hutsell, D.C.
- Title
- President
- Phone
- (574) 773-4423
Practitioners 3
-
Andrea Hutsell, DC
-
Jordan Hutsell, DC
-
Mark D. Hutsell, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120203000313 | IN | Part B Supplier - Clinic/Group Practice | 1153588017 |
Receives reassigned benefits from 3 practitioners Practice locations: Nappanee, IN |
National Provider Directory
Locations
301 N Main St
Nappanee, IN 46550
Phone (574) 773-4423
Interoperability endpoints
- hutsell@hc0056.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08000964 | IN | Yes |
Addresses
Primary practice location
301 N Main St
Nappanee, IN 46550-1621
Mailing address
301 N Main St
Nappanee, IN 46550-1621
Phone (574) 773-4423
Other names
- mark d hutselld.c.,p.c.
Other providers in Nappanee, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2015. 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.