| Porter County Chiropractic Clinic Inc. | |
|
2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | |
| (219) 465-5015 | |
| (219) 548-3828 |
| Full Name | Porter County Chiropractic Clinic Inc. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2600 Roosevelt Rd, Valparaiso, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144203183 | NPI | - | NPPES |
| 350049047 | Other | IN | RR MEDICARE GROUP NO |
| 90000986 | Other | IL | IL BC/BS GROUP NUMBER |
| 000000105239 | Other | IN | ANTHEM GROUP NUMBER |
| 200208460A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08001767A (Indiana) | Primary |
| Provider Name | Dale Beauvais |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1760506554 PECOS PAC ID: 1153374392 Enrollment ID: I20111111000022 |
| Mailing Address | Practice Location Address |
|---|---|
| Porter County Chiropractic Clinic Inc. Po Box 1009, Valparaiso, IN 46384-1009 Ph: (219) 465-5015 | Porter County Chiropractic Clinic Inc. 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 Ph: (219) 465-5015 |
360 Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 450 Lincolnway Ste 110, Valparaiso, IN 46385 Phone: 219-241-6188 | |
Darrell Scott Beauvais, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 265 Morthland Dr Ste E, Valparaiso, IN 46383 Phone: 219-615-3178 Fax: 219-615-3187 | |
Dr. Andrew S Berns, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4004 Campbell Street, Valparaiso, IN 46385 Phone: 219-465-1140 Fax: 219-465-0903 | |
Valparaiso Chiropractic & Wellness Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 505 Silhavy Rd Ste 400, Valparaiso, IN 46383 Phone: 219-771-8156 | |
Midwest Mua Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2402 Primrose Dr, Valparaiso, IN 46383 Phone: 219-510-5312 | |
Synergy Chiropractic And Functional Neurology Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2502 Beech St Ste 60, Valparaiso, IN 46383 Phone: 219-786-9596 |