Organization
BREMEN CHIROPRACTIC CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GEORGE GARL D.C., C.C.S.P., L.AC (PRESIDENT)
(574) 546-4111
Entity
Organization
Contact information
Practice address
204 E PLYMOUTH STREET, BREMEN, IN 46506-1238
(574) 546-4111
(574) 546-2226
Mailing address
204 E PLYMOUTH STREET, BREMEN, IN 46506-1238
(574) 546-4111
(574) 546-2226
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
08000818A
IN
111NS0005X
Sports Physician Chiropractor
2301008007
MI
171100000X
Acupuncturist
81000035A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090414
ANTHEM BLUE CROSS BLUE SHIELD
—
Enumeration date
09/04/2009
Last updated
09/04/2009
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