| Grant Chiropractic Clinic, Inc | |
|
451 Pine Lake Ave, La Porte, IN 46350-2314 | |
| (219) 362-3766 | |
| (219) 325-8715 |
| Full Name | Grant Chiropractic Clinic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 451 Pine Lake Ave, La Porte, Indiana |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144372939 | NPI | - | NPPES |
| 100385070A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 08001545 (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Chiropractic Clinic, Inc 451 Pine Lake Ave, La Porte, IN 46350-2314 Ph: () - | Grant Chiropractic Clinic, Inc 451 Pine Lake Ave, La Porte, IN 46350-2314 Ph: (219) 362-3766 |
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 | |
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 | |
Clark's Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 6646 W Johnson Rd, La Porte, IN 46350 Phone: 866-932-9630 |