15D2074810 CLIA NUMBER - HUFFER CHIROPRACTIC

Laboratory Demographics

CLIA Number: 15D2074810

Facility Name: HUFFER CHIROPRACTIC

Facility Address:
502 THIRD AVE
JASPER, IN
ZIP 47546
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Facility Phone Number: 812 482-2923

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1992990725

Taxonomy: 111N00000X - Chiropractor
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.

CLIA Record

Field Name Field Value
CLIA Number 15D2074810
LAB Type Physician Office
Facility Name HUFFER CHIROPRACTIC
Street 502 THIRD AVE
City JASPER
State IN
ZIP 47546
Phone 812 482-2923
CertificateType 4
CertificateEffectiveDate 3/17/2024
CertificateExpirationDate 3/16/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024