Organization
GOBLE HEAL CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A HEAL DC (CEO)
(574) 946-4113
Entity
Organization
Contact information
Practice address
116 E PEARL STREET, WINAMAC, IN 46996
(574) 946-4113
(574) 946-4552
Mailing address
PO BOX 250, 116 E PEARL STREET, WINAMAC, IN 46996
(574) 946-4113
(574) 946-4552
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08000878A
—
111N00000X
Chiropractor
Primary
08001280A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075800A
—
IN
Enumeration date
08/04/2006
Last updated
04/09/2015
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