| Community Chiropractic Spine Center | |
|
6325 Central Avenue, Portage, IN 46368-3801 | |
| (219) 763-7970 | |
| (219) 762-5338 |
| Full Name | Community Chiropractic Spine Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6325 Central Avenue, Portage, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245588847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08002577A (Indiana) | Primary |
| Provider Name | Jaclyn Renee Stitt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891076881 PECOS PAC ID: 8022277888 Enrollment ID: I20120314000268 |
| Mailing Address | Practice Location Address |
|---|---|
| Community Chiropractic Spine Center 6325 Central Avenue, Portage, IN 46368-3801 Ph: (219) 763-7970 | Community Chiropractic Spine Center 6325 Central Avenue, Portage, IN 46368-3801 Ph: (219) 763-7970 |
Melissa Jean Duvall, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 | |
Dr. Daniel Raleigh Dewar, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-763-7245 | |
Dr. Michael Anthony Villanueva, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 6050 Sterling Creek Rd, Portage, IN 46368 Phone: 219-763-8112 Fax: 219-763-7245 | |
Dependable Chiropractic, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6062 Lute Rd, Portage, IN 46368 Phone: 219-763-7000 Fax: 219-763-7770 | |
Community Chiropractic-portage, P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6325 Central Ave, Portage, IN 46368 Phone: 219-763-7970 Fax: 219-762-5338 | |
Dr. David John Cryderman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6325 Central Ave, Portage, IN 46368 Phone: 219-763-7970 Fax: 219-762-5338 |