Jasper County Chiropractic, Inc.

NPI #1316283609 in Demotte, Indiana

Provider Information

NPI Number: 1316283609
Entity Type: Organization
Organization Name: Jasper County Chiropractic, Inc.
Primary Specialty: Chiropractor - Radiology
Enumeration Date: Dec 14, 2012
Last Updated: Dec 14, 2012

Practice Location

Address: 701 SOUTH HALLECK STREET
City: Demotte
State: Indiana
ZIP Code: 46310
Phone: (219) 987-3366

Authorized Official

Name: MR. DARRELL SCOTT BEAUVAIS, D.C.
Title: PRESIDENT
Phone: (219) 987-3366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor - Radiology — Radiology	111NR0200X	Primary

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