Healthcare Provider Details

I. General information

NPI: 1023051885
Provider Name (Legal Business Name): HOOSIER CHIROPRACTOR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2006
Last Update Date: 07/17/2025
Certification Date: 07/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12953 PUBLISHERS DR STE 300
FISHERS IN
46038-8801
US

IV. Provider business mailing address

12953 PUBLISHERS DR STE 300
FISHERS IN
46038-8801
US

V. Phone/Fax

Practice location:
  • Phone: 317-578-7775
  • Fax: 317-578-7784
Mailing address:
  • Phone: 317-578-7775
  • Fax: 317-578-7784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JEREMY DANIEL FERRIS
Title or Position: DOCTOR
Credential: D.C.
Phone: 317-578-7775