Provider Demographics
NPI:1487775094
Name:TSCHETTER CHIROPRACTIC INC
Entity type:Organization
Organization Name:TSCHETTER CHIROPRACTIC INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DELTAN
Authorized Official - Middle Name:JON
Authorized Official - Last Name:TSCHETTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-375-3673
Mailing Address - Street 1:1311 N ARLINGTON AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46219-3260
Mailing Address - Country:US
Mailing Address - Phone:317-375-3673
Mailing Address - Fax:317-352-8143
Practice Address - Street 1:1311 N ARLINGTON AVE STE 103
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3260
Practice Address - Country:US
Practice Address - Phone:317-375-3673
Practice Address - Fax:317-352-8143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001697A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty