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Organization

DEPENDABLE CHIROPRACTIC, P.C.

Active
Other names
Northwest Indiana Spine Center, P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL ANTHONY VILLANUEVA D.C. (PRESIDENT/OWNER)
(219) 763-7000
Entity
Organization

Contact information

Practice address
6062 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-7000
(219) 763-7770
Mailing address
6062 LUTE RD, PORTAGE, IN 46368-5008
(219) 763-7000
(219) 763-7770

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002310A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200885270A
IN
Enumeration date
11/05/2007
Last updated
06/19/2008
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