Individual
DR. DANIEL RALEIGH DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
6050 STERLING CREEK RD, PORTAGE, IN 46368-7752
(219) 763-8112
(219) 763-7245
Mailing address
PO BOX 1430, PORTAGE, IN 46368-9230
(219) 763-8112
(219) 763-7245
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001702A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200138490
—
IN
Enumeration date
09/22/2006
Last updated
06/24/2020
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