Provider Demographics
NPI:1194726109
Name:MAPLES, WILLIAM J (DC)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:MAPLES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 N HIGH SCHOOL RD STE 6
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46214-5702
Mailing Address - Country:US
Mailing Address - Phone:317-270-9500
Mailing Address - Fax:
Practice Address - Street 1:855 N HIGH SCHOOL RD STE 6
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46214-5702
Practice Address - Country:US
Practice Address - Phone:317-270-9500
Practice Address - Fax:317-270-9520
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002292A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor