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Organization

BENNETT CHIROPRACTIC WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW BENNETT (CHIEF EXECUTIVE OFFICER)
(574) 238-6199
Entity
Organization

Contact information

Practice address
1178 FREMONT CT, ELKHART, IN 46516-9321
(574) 238-6199
Mailing address
1618 WEAVER WOODS DR, GOSHEN, IN 46526-8142
(574) 238-6199

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002949A
IN

Other

Enumeration date
03/27/2017
Last updated
03/27/2017
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