Mungovan Chiropractic Pc

LBN: Mungovan Chiropractic Pc
Mungovan Chiropractic Pc is an health care organization with primary practice located at 4705 Illinois Rd Ste 102 , Fort Wayne IN 46804-5108. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Mungovan Chiropractic Pc can be contacted via phone (260) 447-1067, or through Mungovan, Michael Thomas via phone (260) 447-1067.

Contact Information

Primary practice address
4705 Illinois Rd Ste 102 Fort Wayne IN 46804-5108
Phone: (260) 447-1067
Fax: (260) 447-0827
Website:
Map and Directions
Authorized official contact:
Name: Mungovan, Michael Thomas Doctor of Chiropractic (DC)
Phone: (260) 447-1067

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001044 Indiana

Profile Details

NPI number 1154533354
LBN Legal business name Mungovan Chiropractic Pc
DBA Doing business as
Authorized official Mungovan, Michael Thomas Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Apr 9th, 2013 - about 11 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 1154533354 NPPES
Indiana Other 226000A MEDICARE PTAN

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