Contract Details
Ancillary Care Services
Facility name
New Palestine Chiropractic
Provider ID
P000005737
NPI
1972551182
Tax ID
351963156
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
4056 South Arbor Lane Suite 100
New Palestine, IN 46163
United States
County
Hancock
Phone
3178614300 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address