Organization
ELKHART COUNTY CHIROPRACTIC
Active
Other names
ECC, INC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT FRANK LEWALLEN D.C. (DOCTOR OF CHIROPRACTIC OWNER)
(574) 534-4400
Entity
Organization
Contact information
Practice address
909 LINWAY DR, SUITE 1, GOSHEN, IN 46526-2431
(574) 534-4400
(574) 534-5855
Mailing address
909 LINWAY DR, SUITE 1, GOSHEN, IN 46526-2431
(574) 534-4400
(574) 534-5855
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100114230A
—
IN
Enumeration date
07/02/2006
Last updated
10/01/2010
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