Organization
LEICHTER & PHELAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALAN S LEICHTER D.C. (PRESIDENT)
(574) 288-1234
Entity
Organization
Contact information
Practice address
1622 MISHAWAKA AVE, SOUTH BEND, IN 46615-1427
(574) 288-1234
(574) 288-4821
Mailing address
1622 MISHAWAKA AVE, SOUTH BEND, IN 46615-1427
(574) 288-1234
(574) 288-4821
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
51000143A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100366010
—
IN
Enumeration date
01/29/2007
Last updated
08/15/2008
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