| Back To Life Chiropractic L.l.c | |
|
761 Indian Boundary Rd, Suite 4, Chesterton, IN 46304-1586 | |
| (219) 728-6649 | |
| (888) 741-5926 |
| Full Name | Back To Life Chiropractic L.l.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 761 Indian Boundary Rd, Chesterton, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417301847 | NPI | - | NPPES |
| 201358400 A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08002566A (Indiana) | Primary |
| Provider Name | James P Gano |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881992360 PECOS PAC ID: 9638349830 Enrollment ID: I20110825000547 |
| Provider Name | Curtis Aaron Bobier |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1629400239 PECOS PAC ID: 0749558138 Enrollment ID: I20170607001088 |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Life Chiropractic L.l.c 761 Indian Boundary Rd, Suite 4, Chesterton, IN 46304-1586 Ph: (219) 728-6649 | Back To Life Chiropractic L.l.c 761 Indian Boundary Rd, Suite 4, Chesterton, IN 46304-1586 Ph: (219) 728-6649 |
Melissa Jean Owen, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 761 Indian Boundary Rd Ste 4, Chesterton, IN 46304 Phone: 219-250-2242 Fax: 219-250-2958 | |
Dr. Ryan Michael Angelo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 119 Broadway Ste 1, Chesterton, IN 46304 Phone: 219-395-6635 | |
Caleigh Miller, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1871 Catkin Cir, Chesterton, IN 46304 Phone: 219-240-2252 | |
David Scott Curran, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1496 Pope Ct Ste 3, Chesterton, IN 46304 Phone: 219-926-8522 Fax: 219-926-7513 | |
Jeffrey P Demko, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 810 Michael Dr Ste E, Chesterton, IN 46304 Phone: 219-921-2095 | |
Dr. Benjamin S Jones, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1496 Pope Ct Ste 3, Chesterton, IN 46304 Phone: 219-926-8522 Fax: 219-926-7513 |