Regional Sport And Spine Chiropractic Pc

LBN: Regional Sport And Spine Chiropractic Pc
Regional Sport And Spine Chiropractic Pc is an health care organization with primary practice located at 4004 Campbell St , Valparaiso IN 46385-1773. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Regional Sport And Spine Chiropractic Pc can be contacted via phone (219) 465-1140, or through Braun, Scott J via phone (219) 465-1140.

Contact Information

Primary practice address
4004 Campbell St Valparaiso IN 46385-1773
Phone: (219) 465-1140
Fax: (219) 465-0903
Website:
Map and Directions
Authorized official contact:
Name: Braun, Scott J Doctor of Chiropractic (DC)
Phone: (219) 465-1140

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1538642087
LBN Legal business name Regional Sport And Spine Chiropractic Pc
DBA Doing business as
Authorized official Braun, Scott J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 2018
Last updated Sep 11th, 2018 - about 6 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 1538642087 NPPES
Indiana Other 08002287A STATE LICENSE NUMBER
Indiana MEDICAID 300009256 STATE LICENSE NUMBER

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