Organization
BOTTORFF CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANELLE A BOTTORFF D.C (OWNER)
(574) 936-2965
Entity
Organization
Contact information
Practice address
315 E JEFFERSON ST, PLYMOUTH, IN 46563-1825
(574) 936-2965
(574) 936-5506
Mailing address
315 E JEFFERSON ST, PLYMOUTH, IN 46563-1825
(574) 936-2965
(574) 936-5506
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001367
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000189745
GROUP
IN
05
—
100173320A
—
IN
01
—
15160332
GROUP
IA
Enumeration date
06/04/2007
Last updated
06/27/2008
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