| NPI | 1275871451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW C FERRIS Owner 317-414-9930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002167A) |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |