Healthcare Provider Details

I. General information

NPI: 1649568049
Provider Name (Legal Business Name): EMILEE MAUS ALLMAN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILEE ANDERSON

II. Dates (important events)

Enumeration Date: 07/19/2011
Last Update Date: 02/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6905 E 96TH ST SUITE 600
INDIANAPOLIS IN
46250-4448
US

IV. Provider business mailing address

520 N STATE ROAD 135 STE E
GREENWOOD IN
46142-1321
US

V. Phone/Fax

Practice location:
  • Phone: 317-577-1990
  • Fax:
Mailing address:
  • Phone: 178-000-0683
  • Fax: 317-468-9498

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002667A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: