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
Fax: (219) 548-3828
Website:
Authorized official contact:
Name: Beauvais, Dale L Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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