Organization
ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONIQUE LILLIAN MARIE LEVESQUE-HARTLE D.C. (VICE PRESIDENT)
(260) 432-7339
Entity
Organization
Contact information
Practice address
3835 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6809
(260) 432-7339
Mailing address
3835 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6809
(260) 432-7339
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
08001638
IN
111NS0005X
Sports Physician Chiropractor
Primary
08001622
IN
Other
Enumeration date
09/20/2006
Last updated
09/11/2025
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