MEDICARE: CLEAR CHIROPRACTIC MUNCIE, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000919097	OTHER	IN	BLUE CROSS AND BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790337020
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAR CHIROPRACTIC MUNCIE, LLC

Provider Business Mailing Address
First Line	:	406 W VOTAW ST
Second Line	:
City	:	PORTLAND
State	:	IN
Zip	:	47371-1344
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3895 N WHEELING AVE
Second Line	:
City	:	MUNCIE
State	:	IN
Zip	:	47304-1776
Country	:	US
Telephone Number	:	765-288-8851
Fax Number	:	765-288-8840

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	STACY A RICHARDSON
Credential	:
Telephone Number	:	260-726-3065

Provider Enumeration Date	:	07/16/2019
Last Update Date	:	07/16/2019

Similar Medicare Providers

1720330004 — EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC
Practice Location Address:

3895 N WHEELING AVE
MUNCIE, IN
47304-1776

Practice Phone: 765-281-1131
Practice Fax:

1336538560 — MICHAEL JOSEPH JOBE D.C.
Practice Location Address:

3895 N WHEELING AVE
MUNCIE, IN
47304-1776

Practice Phone: 765-288-8851
Practice Fax: 765-288-8840

1790578045 — LOGAN BRACKMAN DC
Practice Location Address:

3895 N WHEELING AVE
MUNCIE, IN
47304-1776

Practice Phone: 765-288-8851
Practice Fax: 765-288-8840

1609723956 — DR. HALEY MARIE DURHAM
Practice Location Address:

2810 W ETHEL AVE STE 1
MUNCIE, IN
47304-4402

Practice Phone: 765-730-6343
Practice Fax:

1699623785 — DUNGARVIN INDIANA, LLC
Practice Location Address:

4312 W HUMMINGBIRD WAY
MUNCIE, IN
47304-2803

Practice Phone: 651-699-0206
Practice Fax:

1952778052 — BRANDY LOPILATO APN
Practice Location Address:

1714 W ROYALE DR
MUNCIE, IN
47304-2240

Practice Phone: 765-372-8187
Practice Fax: 812-492-6390

Directions to “CLEAR CHIROPRACTIC MUNCIE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.