Contract Details
Facility name
Young Chiropractic, LLC
Provider ID
P000005527
NPI
1881633535
Tax ID
203687700
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
1912 Bundy Ave
New Castle, IN 47362
United States
County
Henry
Phone
7655214472 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address