Organization
BROADWAY PLAZA PAIN RELIEF CENTER
Active
Other names
Hall Chiropractic Pain Relief Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E HALL D.C. (OWNER)
(219) 924-2112
Entity
Organization
Contact information
Practice address
801 W GLEN PARK AVE, GRIFFITH, IN 46319-2087
(219) 924-2112
(219) 924-2114
Mailing address
801 W GLEN PARK AVE, GRIFFITH, IN 46319-2087
(219) 924-2112
(219) 924-2114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001395A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100338150
—
IN
Enumeration date
08/29/2014
Last updated
08/29/2014
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