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NPI 1023051885

NPI 1023051885 : HOOSIER CHIROPRACTOR INC. : FISHERS, IN

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General NPI Number Information
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    NPI Number           |    1023051885
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOOSIER CHIROPRACTOR INC. 
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Dates
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    Enumeration Date     |    06/13/2006
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    Last Update Date     |    07/17/2025
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Provider Practice Location Address
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    Address Line         |    12953 PUBLISHERS DR STE 300 
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    City                 |    FISHERS
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    State                |    IN
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    Zip                  |    46038-8801
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    Country              |    US
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    Telephone            |    317-578-7775
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    Fax                  |    317-578-7784
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Provider Business Mailing Address
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    Address Line         |    12953 PUBLISHERS DR STE 300 
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    City                 |    FISHERS
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    State                |    IN
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    Zip                  |    46038-8801
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    Country              |    US
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    Telephone            |    317-578-7775
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    Fax                  |    317-578-7784
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. JEREMY DANIEL FERRIS 
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    Credential           |    D.C.
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    Telephone            |    317-578-7775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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