Individual
MR. CORLIN ALDEN STEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
9161 WICKER AVENUE (US 41), ST. JOHN, IN 46373
(219) 365-4777
(219) 365-0267
Mailing address
9161 WICKER AVENUE (US 41), P.O. BOX 298, ST. JOHN, IN 46373
(219) 365-4777
(219) 365-0267
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001477
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090043
BC/BS PROVIDER NUMBER
—
01
—
P00092338
RAILROAD MEDICARE
IN
Enumeration date
10/03/2006
Last updated
07/08/2007
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