Healthcare Provider Details

I. General information

NPI: 1336439140
Provider Name (Legal Business Name): PIXLER INTEGRATIVE HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2011
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 E 3RD ST
BLOOMINGTON IN
47401-5538
US

IV. Provider business mailing address

3901 E 3RD ST
BLOOMINGTON IN
47401-5538
US

V. Phone/Fax

Practice location:
  • Phone: 812-323-0700
  • Fax: 812-323-0702
Mailing address:
  • Phone: 812-323-0700
  • Fax: 812-323-0702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002424A
License Number StateIN

VIII. Authorized Official

Name: DR. JOHN ALEXANDER PIXLER
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: DC
Phone: 812-323-0700