Porter County Chiropractic Clinic Inc.
LBN: Porter County Chiropractic Clinic Inc.
Porter County Chiropractic Clinic Inc. is an health care organization with primary practice located at 2600 Roosevelt Rd , Valparaiso IN 46383-0970. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Porter County Chiropractic Clinic Inc. can be contacted via phone (219) 465-5015, or through Beauvais, Dale L via phone (219) 465-5015.
Contact Information
Primary practice address
2600 Roosevelt Rd
Valparaiso IN 46383-0970
Phone: (219) 465-5015
Fax: (219) 548-3828
Website:
Authorized official contact:
Name: Beauvais, Dale L Doctor of Chiropractic (DC)
Phone: (219) 465-5015
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 08001767A | Indiana |
Profile Details
NPI number | 1144203183 |
---|---|
LBN Legal business name | Porter County Chiropractic Clinic Inc. |
DBA Doing business as | |
Authorized official | Beauvais, Dale L Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 23rd, 2005 |
Last updated | Jun 29th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1144203183 | NPPES |
Indiana | Other | 350049047 | RR MEDICARE GROUP NO |
Indiana | Other | 90000986 | RR MEDICARE GROUP NO |
Indiana | Other | 000000105239 | RR MEDICARE GROUP NO |
Indiana | MEDICAID | 200208460A | RR MEDICARE GROUP NO |
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