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BROOKVILLE CHIROPRACTIC ASSOCIATES SPORTS MEDICINE,LLC

>> Chiropractor >> Chiropractic Providers

Registrant NPI Number: 1790878593

Organizational Registrant:
Organization Name:  BROOKVILLE CHIROPRACTIC ASSOCIATES SPORTS MEDICINE,LLC
Organization is not Subpart
Authorized Official:  CALVIN EUGENE FINCH  OWNER  765--64-77300

Location and contact information for practice:
617 MAIN ST  BROOKVILLE, IN 47012-1280 US
Tel: 765-647-7300  Fax: 765-647-7344

Contact information for business:
617 MAIN ST  BROOKVILLE, IN 47012-1280 US
Tel: 765-647-7300  Fax: 765-647-7344

Registration Information:
NPI: 1790878593
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y111N00000XChiropractic Providers
Chiropractor
IN08000312

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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