REGIONAL SPORT AND SPINE CHIROPRACTIC PC NPI 1538642087

NPI Information

NPI: 1538642087
Provider Name: REGIONAL SPORT AND SPINE CHIROPRACTIC PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
4004 CAMPBELL ST
VALPARAISO, IN
ZIP 46385
Phone: (219) 465-1140
Get Directions

REGIONAL SPORT AND SPINE CHIROPRACTIC PC is a chiropractor in Valparaiso, IN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. REGIONAL SPORT AND SPINE CHIROPRACTIC PC NPI is 1538642087. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4004 CAMPBELL ST
VALPARAISO, IN
ZIP 46385-773
Phone: (219) 465-1140
Fax: (219) 465-0903

The provider's authorized official is Scott J Braun .
The authorized official title is Physician/owner and has the following contact phone number (219) 465-1140.

The enumeration date for this NPI number is 9/11/2018 and was last updated on 9/11/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	08002287A	OTHER	INDIANA	STATE LICENSE NUMBER
2	300009256	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »