# INDIAN LAKE CHIROPRACTIC CENTRE INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639349327
- **Authorized official:** DR. EDWARD G. CERWINKSY D.C. (DOCTOR)
- **Authorized official phone:** (937) 843-5286

## Contact information

- **Practice address:** 180 SOUTH MAIN STREET, LAKEVIEW, OH 43331
- **Practice address phone:** (937) 843-5286
- **Practice address fax:** (937) 843-5285
- **Mailing address:** 180 SOUTH MAIN STREET, LAKEVIEW, OH 43331
- **Mailing address phone:** (937) 843-5286
- **Mailing address fax:** (937) 843-5285

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 533 | OH | Yes |

## Other

- **Enumeration date:** 03/10/2008
- **Last updated:** 03/17/2008