NPI 1144203183

Porter County Chiropractic Clinic INC.

Organisation Chiropractor Valparaiso, IN

Practice location

Address: 2600 Roosevelt Rd, Valparaiso, IN 46383-0970
Phone: (219) 465-5015
Fax: (219) 548-3828
Mailing address: PO Box 1009, Valparaiso, IN 46384-1009

Authorised official

Name: Dale L Beauvais
Title: Owner
Phone: (219) 465-5015

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 08001767A (IN)

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Registry record

NPI: 1144203183
Entity type: Organization
NPI issued: 23 Nov 2005
Record last updated: 29 Jun 2015

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.