MEDICARE: NEW PALESTINE CHIROPRACTIC INC

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	08001196A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000091126	OTHER	IN	ANTHEM PIN NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518130152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW PALESTINE CHIROPRACTIC INC

Provider Business Mailing Address
First Line	:	4056 S. ARBOR LANE
Second Line	:	SUITE 100
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-0476
Country	:	US
Telephone Number	:	317-861-4300
Fax Number	:	317-861-6652

Provider Business Practice Location Address
First Line	:	4056 S. ARBOR LN
Second Line	:	SUITE 100
City	:	NEW PALESTINE
State	:	IN
Zip	:	46163-0476
Country	:	US
Telephone Number	:	317-861-4300
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR/OWNER
Name	:	RICHARD LANCE HILTON
Credential	:
Telephone Number	:	317-861-4300

Provider Enumeration Date	:	04/03/2008
Last Update Date	:	06/15/2022

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Directions to “NEW PALESTINE CHIROPRACTIC INC ” Practice Location

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