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Individual

DR. BOBAN KECMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
116 N MAIN ST, CROWN POINT, IN 46307-4049
(219) 662-8797
Mailing address
116 N MAIN ST, CROWN POINT, IN 46307-4049
(219) 662-8797

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001931A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000203846
ANTHEM BC BS
IN
01
28617
BENEFIT SYSTEMS AND SERVI
IN
01
5466849
CCN DCA
IN
01
7494190
AETNA
IN
01
90001124
BC BS OF ILLINOIS
IN
Enumeration date
02/18/2007
Last updated
07/08/2007
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