Gasdorf, Nathaniel John

Gasdorf, Nathaniel John is an individual health care provider with primary practice located at 1960 Westwood Dr , Angola IN 46703-8639. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gasdorf, Nathaniel John can be contacted via phone (260) 665-3533.

Contact Information

Primary practice address
1960 Westwood Dr Angola IN 46703-8639
Fax: (260) 665-3533
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0800206A Indiana

Profile Details

NPI number 1699870436
LBN Legal business name Gasdorf, Nathaniel John
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Sep 11th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699870436 NPPES
Indiana MEDICAID 200442340A

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