Healthcare Provider Details

I. General information

NPI: 1912052879
Provider Name (Legal Business Name): JAMES A VUOTTO D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8130 E WASHINGTON ST
INDIANAPOLIS IN
46219-6833
US

IV. Provider business mailing address

2127 E 71ST ST
INDIANAPOLIS IN
46220-1307
US

V. Phone/Fax

Practice location:
  • Phone: 317-898-6989
  • Fax: 317-897-7170
Mailing address:
  • Phone: 317-253-2888
  • Fax: 317-257-7178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001303
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: