Grant Chiropractic Clinic, Inc

LBN: Grant Chiropractic Clinic, Inc
Grant Chiropractic Clinic, Inc is an health care organization with primary practice located at 451 Pine Lake Ave , La Porte IN 46350-2314. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Grant Chiropractic Clinic, Inc can be contacted via phone (219) 362-3766, or through Grant, Mark via phone (219) 362-3766.

Contact Information

Primary practice address
451 Pine Lake Ave La Porte IN 46350-2314
Phone: (219) 362-3766
Fax: (219) 325-8715
Website:
Map and Directions
Authorized official contact:
Name: Grant, Mark Doctor of Chiropractic (DC)
Phone: (219) 362-3766

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08001545 Indiana

Profile Details

NPI number 1144372939
LBN Legal business name Grant Chiropractic Clinic, Inc
DBA Doing business as
Authorized official Grant, Mark Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Dec 20th, 2007 - about 19 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 1144372939 NPPES
Indiana MEDICAID 100385070A

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