Organization
BULL CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY KATHRYN (KATIE) BORR (OFFICE MANAGER)
(260) 489-3636
Entity
Organization
Contact information
Practice address
7910 COLDWATER RD, FORT WAYNE, IN 46825-3412
(260) 489-3636
(260) 489-3611
Mailing address
7910 COLDWATER RD, FORT WAYNE, IN 46825-3412
(260) 489-3636
(260) 489-3611
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001415A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383841
ANTHEM PIN
IN
Enumeration date
10/17/2007
Last updated
10/17/2007
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