MEDICARE: FRANKLIN STREET CHIROPRACTIC L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	08001689A	IN
2	111N00000X	Chiropractor	08001671	IN
3	111N00000X	Chiropractor	08002410A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366659633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANKLIN STREET CHIROPRACTIC L.L.C.

Provider Business Mailing Address
First Line	:	2222 W FRANKLIN ST
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47712-5117
Country	:	US
Telephone Number	:	812-425-5686
Fax Number	:	812-422-0429

Provider Business Practice Location Address
First Line	:	2732 MOUNT VERNON AVE
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47712-6754
Country	:	US
Telephone Number	:	812-425-5686
Fax Number	:	812-422-0429

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JESSICA MARIE IGNACIO
Credential	:	D.C.
Telephone Number	:	812-425-5686

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/13/2024

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Directions to “FRANKLIN STREET CHIROPRACTIC L.L.C. ” Practice Location

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