Healthcare Provider Details

I. General information

NPI: 1033304191
Provider Name (Legal Business Name): SELAND CHIROPRACTIC CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2007
Last Update Date: 09/12/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7350 VILLAGE SQUARE LN
FISHERS IN
46038-4555
US

IV. Provider business mailing address

7350 VILLAGE SQUARE LANE
FISHERS IN
46038-4555
US

V. Phone/Fax

Practice location:
  • Phone: 317-598-1410
  • Fax: 317-598-9807
Mailing address:
  • Phone: 317-598-1410
  • Fax: 317-598-9807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. TROND G SELAND I
Title or Position: PRESIDENT
Credential: DC
Phone: 317-598-1410