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Organization

LAPORTE CHIROPRACTIC CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC N STULC D.C. (OWNER)
(219) 325-0441
Entity
Organization

Contact information

Practice address
602 I ST, LA PORTE, IN 46350-5530
(219) 325-0441
(219) 325-0549
Mailing address
602 I ST, LA PORTE, IN 46350-5530
(219) 325-0441
(219) 325-0549

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
08001662A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200113870A
IN
Enumeration date
05/06/2009
Last updated
02/05/2020
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