Provider Demographics
NPI:1831423599
Name:CHIROPRACTIC FOR HEALTH, LLC
Entity type:Organization
Organization Name:CHIROPRACTIC FOR HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:METELKO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:317-448-3826
Mailing Address - Street 1:1323 DARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CRAWFORDSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47933-2006
Mailing Address - Country:US
Mailing Address - Phone:317-448-3826
Mailing Address - Fax:
Practice Address - Street 1:1323 DARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:CRAWFORDSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47933-2006
Practice Address - Country:US
Practice Address - Phone:317-448-3826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002479A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty