Hoosier Sports & Chiropractic Llc

LBN: Hoosier Sports & Chiropractic Llc
Hoosier Sports & Chiropractic Llc is an health care organization with primary practice located at 122 W Wayne Street , Fort Wayne IN 46802. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Hoosier Sports & Chiropractic Llc can be contacted via phone (260) 450-3584, or through Nunnally, Jennifer via phone (260) 450-3584.

Contact Information

Primary practice address
122 W Wayne Street Fort Wayne IN 46802
Phone: (260) 450-3584
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nunnally, Jennifer Doctor of Chiropractic (DC)
Phone: (260) 450-3584

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 08002323A Indiana

Profile Details

NPI number 1801114533
LBN Legal business name Hoosier Sports & Chiropractic Llc
DBA Doing business as
Authorized official Nunnally, Jennifer Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 5th, 2010
Last updated May 6th, 2010 - about 16 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 1801114533 NPPES
Indiana MEDICAID 200882740

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