Individual provider · Type 1 NPI
Alec Joseph Domjan, DC
Chiropractor · Indianapolis, IN
NPI number
1265072375
Active
Practice location
11691 Fall Creek Rd
Indianapolis, IN 46256-9447
Mailing address
12448 Breaklines St Apt 102
Carmel, IN 46032-7668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 08003138A (IN) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1265072375
Alec Joseph Domjan, DC's National Provider Identifier is 1265072375, issued on Jan 7, 2020. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 7, 2020.