Broderick Chiropractic Center

LBN: Broderick Chiropractic Center
Broderick Chiropractic Center is an health care organization with primary practice located at 1424 Johnson St , Elkhart IN 46514-3404. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Broderick Chiropractic Center can be contacted via phone (574) 264-4151, or through Broderick, Susan A via phone (574) 264-4151.

Contact Information

Primary practice address
1424 Johnson St Elkhart IN 46514-3404
Phone: (574) 264-4151
Fax: (574) 262-9891
Website:
Map and Directions
Authorized official contact:
Name: Broderick, Susan A
Phone: (574) 264-4151

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08000723A Indiana
Chiropractic Providers / Chiropractor 111N00000X 08000306A Indiana

Profile Details

NPI number 1184028490
LBN Legal business name Broderick Chiropractic Center
DBA Doing business as
Authorized official Broderick, Susan A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2014
Last updated Oct 15th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1184028490 NPPES
Indiana MEDICAID 100112520A
Indiana MEDICAID 100203690A
Indiana Other 000000084724
Indiana Other 000000112128

Popular Providers