| |
801 W Glen Park Ave, Griffith, IN 46319-2087 | |
(219) 924-2112 | |
(219) 924-2114 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 801 W Glen Park Ave, Griffith, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184024937 | NPI | - | NPPES |
100338150 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 08001395A (Indiana) | Primary |
Mailing Address | Practice Location Address |
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801 W Glen Park Ave, Griffith, IN 46319-2087 Ph: (219) 924-2112 | 801 W Glen Park Ave, Griffith, IN 46319-2087 Ph: (219) 924-2112 |
Patrick Oliver, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 801 W Glen Park Ave, Griffith, IN 46319 Phone: 219-924-2112 |