Individual
DR. BRIAN T CASSANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2600 N ROOSEVELT ROAD, SUITE 100-2, VALPARAISO, IN 46383-0972
(219) 464-0103
(219) 548-3828
Mailing address
PO BOX 1547, VALPARAISO, IN 46384-1547
(219) 464-0103
(219) 548-3828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000347288
ANTHEM BCBS PROVIDER NO
IN
05
—
100148130B
—
IN
Enumeration date
04/06/2006
Last updated
05/13/2008
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