Wagner Chiropractic Center

LBN: Lafayette Chiropractic Llc
Wagner Chiropractic Center is an health care organization with primary practice located at 3778 Union St. , Lafayette IN 47905-4453. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Pediatric Chiropractor. Chiropractic Providers / Chiropractor is the primary health care specialty. Lafayette Chiropractic Llc can be contacted via phone (765) 448-1674, or through Bowman, David Alan via phone (765) 448-1674.

Contact Information

Primary practice address
3778 Union St. Lafayette IN 47905-4453
Phone: (765) 448-1674
Fax: (765) 449-0847
Website:
Map and Directions
Authorized official contact:
Name: Bowman, David Alan Doctor of Chiropractic (DC)
Phone: (765) 448-1674

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X
Chiropractic Providers / Pediatric Chiropractor 111NP0017X

Profile Details

NPI number 1912622093
LBN Legal business name Lafayette Chiropractic Llc
DBA Doing business as Wagner Chiropractic Center
Authorized official Bowman, David Alan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 11th, 2022
Last updated Oct 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912622093 NPPES
Indiana MEDICAID 300066310

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