MEDICARE: DR. VIRGINIA SALATA DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08003191A	IN
2	171100000X	Acupuncturist	81000200A	IN

General Provider Information

NPI Number	:	1740882521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VIRGINIA SALATA DC

Provider Business Mailing Address
First Line	:	4725 STATESMEN DR STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-5645
Country	:	US
Telephone Number	:	317-343-9040
Fax Number	:

Provider Business Practice Location Address
First Line	:	4715 STATESMEN DR STE B
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1997
Country	:	US
Telephone Number	:	317-643-5865
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2020
Last Update Date	:	10/12/2023

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Directions to “ DR. VIRGINIA SALATA DC” Practice Location

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