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GRANT CHIROPRACTIC CLINIC INC NPI 1144372939


NPI Information

NPI: 1144372939
Provider Name: GRANT CHIROPRACTIC CLINIC, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
451 PINE LAKE AVE
LA PORTE, IN
ZIP 46350
Phone: (219) 362-3766
Get Directions

GRANT CHIROPRACTIC CLINIC, INC is a chiropractor in La Porte, 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. GRANT CHIROPRACTIC CLINIC, INC NPI is 1144372939. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

451 PINE LAKE AVE
LA PORTE, IN
ZIP 46350-314
Phone: (219) 362-3766
Fax: (219) 325-8715

The provider's authorized official is Mark Grant .
The authorized official title is President and has the following contact phone number (219) 362-3766.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 12/20/2007.


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
1111N00000XChiropractor08001545INDIANAYes

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
1489300MEDICARE PININDIANA
2100385070AMEDICAIDINDIANA

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

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