Organization
GOEBEL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAROLD JOHN GOEBEL JR. D.C. (CHIROPRACTOR)
(260) 436-3783
Entity
Organization
Contact information
Practice address
4309 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6819
(260) 436-3783
(260) 432-2330
Mailing address
4309 W JEFFERSON BLVD, FORT WAYNE, IN 46804-6819
(260) 436-3783
(260) 432-2330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001017A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087061
ANTHEM PIN #
IN
01
—
000000387716
ANTHEM PIN #
IN
05
—
200853970A
—
IN
Enumeration date
02/23/2007
Last updated
05/16/2008
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