Provider Demographics
NPI:1306955588
Name:MCVEY, DIANE MICHELE (DC, LAC)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:MICHELE
Last Name:MCVEY
Suffix:
Gender:F
Credentials:DC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EXECUTIVE DR
Mailing Address - Street 2:STE. F
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-2921
Mailing Address - Country:US
Mailing Address - Phone:317-846-4400
Mailing Address - Fax:317-846-4416
Practice Address - Street 1:20 EXECUTIVE DR
Practice Address - Street 2:STE. F
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-2921
Practice Address - Country:US
Practice Address - Phone:317-846-4400
Practice Address - Fax:317-846-4416
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001573A111N00000X
IN81000043A171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111N00000XChiropractic ProvidersChiropractor
Not Answered171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
INU93906Medicare UPIN
IN199820BMedicare ID - Type Unspecified