Organization Name: | GRANT FAMILY CHIROPRACTIC, LLC |
NPI Number: | 1295805208 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA JO GRANT (OWNER) |
Mailing Address: | 585 Sheridan Rd Noblesville |
State: | IN US |
Postal Code: | 460601317 |
Phone Number: | 3172190354 |
Fax Number: | 3172193083 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 05/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08002113A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |