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Individual

DARRELL SCOTT BEAUVAIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
265 MORTHLAND DR STE E, VALPARAISO, IN 46383-6205
(219) 615-3178
(219) 615-3187
Mailing address
265 MORTHLAND DR STE E, VALPARAISO, IN 46383-6205
(219) 615-3178
(219) 615-3187

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002084A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300084683
IN
Enumeration date
05/22/2006
Last updated
03/05/2025
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