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Organization

HOOSIER PAIN AND POSTURE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRENT A KAISER DC (OWNER)
(908) 461-0768
Entity
Organization

Contact information

Practice address
1068 E STATE ROAD 68, HAUBSTADT, IN 47639-8032
(812) 868-7300
Mailing address
1068 E STATE ROAD 68, HAUBSTADT, IN 47639-8032
(812) 868-7300

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
225100000X
Physical Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05014741A
STATE LICENSE
IN
01
08003270A
STATE LICENSE
IN
Enumeration date
08/23/2022
Last updated
12/18/2024
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