Organization
CHIROPRACTIC & HOLISTIC LIFESTYLES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH A ALDAPE D.C. (PRESIDENT)
(260) 496-8555
Entity
Organization
Contact information
Practice address
10620 CORPORATE DR STE D, FORT WAYNE, IN 46845-1711
(260) 496-8555
(260) 496-8488
Mailing address
10620 CORPORATE DR STE D, FORT WAYNE, IN 46845-1711
(260) 496-8555
(260) 496-8488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001147A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246820
ANTHEM BC BS
IN
Enumeration date
03/23/2007
Last updated
08/22/2020
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