Doctor Name: | DR. MELISSA FERN SHROUT |
NPI Number: | 1770699118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.C. |
License Number: | 08002278A |
Business Practice Address: | 13170 Hazel Dell Parkway Suite 120 Carmel, IN - 46033 |
Business Phone Number: | 3178179355 |
Business Fax Number: | 3178179356 |
Mailing Address: | 13170 Hazel Dell Pkwy, Suite 120 CARMEL |
State: | IN |
Postal Code: | 460338528 |
Phone Number: | 3178179355 |
Fax Number: | 3178179356 |
NPI Enumeration Date: | 08/21/2006 |
NPI Last Update Date: | 11/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 08002278A |
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. |