Healthcare Provider Details

I. General information

NPI: 1447443429
Provider Name (Legal Business Name): PALA CHIROPRACTIC, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2007
Last Update Date: 08/22/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14701 CUMBERLAND RD STE 350
NOBLESVILLE IN
46060-4375
US

IV. Provider business mailing address

14701 CUMBERLAND RD STE 350
NOBLESVILLE IN
46060-4375
US

V. Phone/Fax

Practice location:
  • Phone: 317-770-1970
  • Fax: 317-770-4386
Mailing address:
  • Phone: 317-770-1970
  • Fax: 317-770-4386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08002276A
License Number StateIN

VIII. Authorized Official

Name: DR. SHAWN MICHAEL PALA
Title or Position: MANAGING MEMBER
Credential: D.C.
Phone: 317-770-1970