Life Refined Chiropractic, LLC
NPI 1629591979ActiveOrganization· Chiropractor· Fishers, IN
Chiropractor in Fishers, Indiana, registered in NPPES in July 2017, part of Legacy Impact LLC. The authorized official on file is Staci Jean Blume, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1629591979 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Legacy Impact LLC |
| NPI issued | Jul 19, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jan 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 08002871A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IN) |
|---|
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