NPI | 1932391125 |
---|---|
Doing Business As | HEALTHSOURCE OF INDIANAPOLIS |
Entity Type | Organization |
Authorized Contact | JOSEPH D FORTUNATO Owner 317-257-2225 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001070) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: IN 08001070) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2013-01-31 |