Organization
THE HEALTHY BACK CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW LALICH (OWNER)
(219) 661-8200
Entity
Organization
Contact information
Practice address
116 N MAIN ST, CROWN POINT, IN 46307-4049
(219) 661-8200
(219) 661-8201
Mailing address
116 N MAIN ST, CROWN POINT, IN 46307-4049
(219) 661-8200
(219) 661-8201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001931A
IN
Other
Enumeration date
04/26/2007
Last updated
08/22/2020
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