Individual ProviderLynn T PowellChiropractorChiropractic ProvidersPractice Address8500 Broadway, Suite A, Merrillville, IN 46410-7055(219) 738-1925PECOS EnrollmentBased on the most recent information from CMS, provider Lynn T Powell does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1881705218Provider TypeIndividualFull NamePowell, Lynn TTitleDr.CredentialD.C.GenderMaleSole ProprietorYesEnumeration Date8/31/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address8500 Broadway, Suite A, Merrillville, IN 46410-7055Phone(219) 738-1925FaxUnlisted FaxMailing LocationMailing Address8500 Broadway, Suite A, Merrillville, IN 46410-7055Phone(219) 738-1925FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicense08001720AIndianaProvider IdentifiersIDDescriptionIssuerID606174DescriptionOtherIssuerACNIndianaID000000093263DescriptionOtherIssuerBLUE CROSS/BLUE SHIELDIndianaID7354080DescriptionOtherIssuerAETNAIndianaID20016660ADescriptionMedicaidIssuerUnlistedIndiana