| Clark's Family Chiropractic, Llc | |
|
6646 W Johnson Rd, La Porte, IN 46350-8243 | |
| (866) 932-9630 | |
| Not Available |
| Full Name | Clark's Family Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6646 W Johnson Rd, La Porte, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841613718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08002710A (Indiana) | Primary |
| Provider Name | Sandra A Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1861423527 PECOS PAC ID: 8325042435 Enrollment ID: I20140314001951 |
| Mailing Address | Practice Location Address |
|---|---|
| Clark's Family Chiropractic, Llc 6646 W Johnson Rd, La Porte, IN 46350-8243 Ph: (866) 932-9630 | Clark's Family Chiropractic, Llc 6646 W Johnson Rd, La Porte, IN 46350-8243 Ph: (866) 932-9630 |
Mrs. Shanna Gail Dudash, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1108 Indiana Ave, La Porte, IN 46350 Phone: 219-362-5433 Fax: 219-362-0027 | |
Dr. Matthew Blackmon, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 204 Legacy Plz W, La Porte, IN 46350 Phone: 219-476-7246 Fax: 219-476-1713 | |
Grant Chiropractic Clinic, Inc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 451 Pine Lake Ave, La Porte, IN 46350 Phone: 219-362-3766 Fax: 219-325-8715 | |
Dr. Mark Charles Grant, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 451 Pine Lake Ave, La Porte, IN 46350 Phone: 219-362-3766 | |
Dr. Timothy Joseph Gurrola, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1405 E Lincolnway, Suite A, La Porte, IN 46350 Phone: 219-325-3069 Fax: 219-362-0015 | |
Rassel Family Chiropractic Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1108 Indiana Ave, La Porte, IN 46350 Phone: 219-362-5433 |