Organization
PINE VALLEY CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW HOUCHIN DC (OWNER)
(563) 381-7370
Entity
Organization
Contact information
Practice address
10330 COLDWATER RD, FORT WAYNE, IN 46825-2033
(352) 514-0767
Mailing address
10330 COLDWATER RD, FORT WAYNE, IN 46825-2033
(260) 203-4062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002736A
IN
Other
Enumeration date
06/06/2014
Last updated
09/12/2022
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