Grant Chiropractic Clinic, INC

NPI #1144372939 in La Porte, Indiana

Provider Information

NPI Number: 1144372939
Entity Type: Organization
Organization Name: Grant Chiropractic Clinic, INC
Primary Specialty: Chiropractor
Enumeration Date: Jan 18, 2007
Last Updated: Dec 20, 2007

Practice Location

Address: 451 PINE LAKE AVE
City: La Porte
State: Indiana
ZIP Code: 46350-2314
Phone: (219) 362-3766

Authorized Official

Name: MR. MARK GRANT, D.C.
Title: PRESIDENT
Phone: (219) 362-3766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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