ANGOLA FAMILY CHIROPRACTIC & INTEGRATIVE HEALING CENTER, LLC (NPI# 1841762663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841762663 |
| Entity Type | Organization |
| Organization Name | ANGOLA FAMILY CHIROPRACTIC & INTEGRATIVE HEALING CENTER, LLC |
| Practice Address |
114 E Maumee St Ste 101 Angola IN 46703-1978 |
| Practice Telephone | 2606678269 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2018-12-18 |
| Authorized Official Name | DR. JAMIE FIDLER (OWNER) |
| Authorized Official Telephone | 2606678269 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1942724836 | 01 |
| Street Address |
114 E MAUMEE ST STE 101 |
| City | ANGOLA |
| State | IN |
| Zip Code | 46703-1978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942724836 | Jamie Lee Fidler | Chiropractor | 114 E Maumee St Ste 101, Angola, IN 46703-1978 | 2017-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617097 | Carolyn Yvonne Davis | Registered Nurse | 909b South Darling Street, Angola, IN 46703 | 2020-01-02 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1386025427 | Jessica Conrad | Physical Therapist | 1913 North Wayne St, Suite D, Angola, IN 46703 | 2015-06-15 |
| 1578977385 | Amber Joy Richards | Counselor | 200 Hoosier Dr. Suite E, Angola, IN 46703 | 2014-06-19 |
| 1972874667 | Amanda Louise Traxler | Specialist/Technologist | 350 S John Mcbride Ave, Angola, IN 46703 | 2012-01-26 |
| 1659656155 | Kelly Balyeat | Pharmacist | 2012 North Wayne Street, Angola, IN 46703 | 2011-10-15 |
| 1689843930 | Erin Nicole Culler | Pharmacist | 2290 North Wayne Street, Angola, IN 46703 | 2008-02-20 |
| 1235319963 | J Andrew Stoner | Counselor | 430 N Wayne St, Suite 201, Angola, IN 46703 | 2007-11-09 |
| 1760537658 | Margaret Jean Schreiber | Nurse Practitioner | 103 Intertech Parkway, Suite A, Angola, IN 46703 | 2007-01-24 |
| 1922163120 | Tamara Lynn Watkins | Dentist | 101 N. Terrace Blvd., Angola, IN 46703 | 2006-12-27 |
| Find all providers in zip 46703 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609350495 | Steuben Family Chiropractic LLC | Chiropractor | 1220 N 200 W Ste G, Angola, IN 46703-9171 | 2018-09-18 |
| 1588144760 | Travis William Simmons | Chiropractor | 1220 N 200 W, Angola, IN 46703 | 2018-08-17 |
| 1942724836 | Jamie Lee Fidler | Chiropractor | 114 E Maumee St Ste 101, Angola, IN 46703-1978 | 2017-08-01 |
| 1245421262 | John F Hammel | Chiropractor | 1250 N 290 W, Angola, IN 46703-9004 | 2007-08-06 |
| 1699870436 | Nathaniel John Gasdorf | Chiropractor | 1960 Westwood Dr, Angola, IN 46703-8639 | 2006-09-14 |
| 1083624985 | Robert Eugene Ritenour | Chiropractor | 1440 N 200 W, Suite A, Angola, IN 46703-9170 | 2006-08-09 |
| 1659320778 | Thomas Hale Stevens | Chiropractor | 903 Williams St, Angola, IN 46703-1167 | 2006-05-08 |
| 1487633897 | Tri State Chiropractic Clinic PC | Chiropractor | 2014 N Wayne St, Angola, IN 46703-9102 | 2006-01-13 |
| 1760855324 | Stevens Chiropractic Center, PC | Chiropractor | 903 Williams St, Angola, IN 46703-1167 | 2015-11-04 |
| 1073863940 | Andrea Lee Herold | Chiropractor | 905 Lake St, Angola, NY 14006 | 2012-09-18 |
| Find all providers in ANGOLA | ||||
Please comment or provide details below to improve the information on ANGOLA FAMILY CHIROPRACTIC & INTEGRATIVE HEALING CENTER, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.