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LAFAYETTE CHIROPRACTIC LLC NPI 1942479423


NPI Information

NPI: 1942479423
Provider Name: LAFAYETTE CHIROPRACTIC LLC

Doing Business As: WAGNER CHIROPRACTIC CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
3778 UNION ST
LAFAYETTE, IN
ZIP 47905
Phone: (765) 448-1674
Get Directions

LAFAYETTE CHIROPRACTIC LLC is a chiropractor in Lafayette, 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. LAFAYETTE CHIROPRACTIC LLC NPI is 1942479423. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wagner Chiropractic Center.

The provider's business location address is:

3778 UNION ST
LAFAYETTE, IN
ZIP 47905-453
Phone: (765) 448-1674
Fax: (765) 449-0847

The provider's authorized official is David Alan Bowman .
The authorized official title is Owner and has the following contact phone number (765) 448-1674.

The enumeration date for this NPI number is 2/28/2008 and was last updated on 10/25/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorINDIANAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200925750 AMEDICAIDINDIANA
2256900OTHERINDIANAMEDICARE PTAN

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: 4/28/2024

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