Organization
ALLEN COUNTY CHIROPRACTIC LLC
Active
Other names
Allen County Chiropractic Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE LILLIAN MARIE LEVESQUE-HARTLE D.C. (PRESIDENT)
(260) 432-7339
Entity
Organization
Contact information
Practice address
6320 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 432-7339
Mailing address
6320 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 432-7339
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
—
IN
Other
Enumeration date
11/19/2010
Last updated
07/22/2014
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