Provider Demographics
NPI:1215053509
Name:GRABINSKI, PATRICIA A (DC)
Entity type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:A
Last Name:GRABINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7241 E 146TH ST STE 110
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9858
Mailing Address - Country:US
Mailing Address - Phone:317-708-9355
Mailing Address - Fax:317-678-0653
Practice Address - Street 1:7241 E 146TH ST STE 110
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9858
Practice Address - Country:US
Practice Address - Phone:317-708-9355
Practice Address - Fax:317-678-0653
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4399-12111N00000X
IL038009351111N00000X
KY4216111N00000X
MI2301007827111N00000X
IN0881511A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100337580AMedicaid
INU45296Medicare UPIN
IN717420Medicare ID - Type Unspecified