Functional Medicine Valparaiso

LBN: Gary Tennant Dc
Functional Medicine Valparaiso is an health care organization with primary practice located at 2590 Morthland Dr , Valparaiso IN 46385-6701. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Gary Tennant Dc can be contacted via phone (219) 232-9404, or through Tennant, Gary via phone (708) 275-4698.

Contact Information

Primary practice address
2590 Morthland Dr Valparaiso IN 46385-6701
Phone: (219) 232-9404
Fax: (219) 293-8011
Website:
Map and Directions
Authorized official contact:
Name: Tennant, Gary Doctor of Chiropractic (DC)
Phone: (708) 275-4698

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002905A Indiana

Profile Details

NPI number 1497276745
LBN Legal business name Gary Tennant Dc
DBA Doing business as Functional Medicine Valparaiso
Authorized official Tennant, Gary Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2017
Last updated Jul 21st, 2022 - about 4 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 1497276745 NPPES
Indiana Other 08002905A INDIANA LICENSE NUMBER

Popular Providers