NPI 1043258049

Bouma Chiropractic Clinic, P.C.

Organisation Chiropractor Indiana, PA

Practice location

Address: 102 Christy Park Dr, Indiana, PA 15701-1584
Phone: (724) 465-4080
Fax: (724) 465-6923

Authorised official

Name: Lawrence Bouma
Title: President
Phone: (724) 465-4080

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence DC001387L (PA)

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Registry record

NPI: 1043258049
Entity type: Organization
NPI issued: 2 Jun 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.