Organization
PRIORITY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ALBERT VANDERSLUIS DC (PRESIDENT)
(219) 696-8916
Entity
Organization
Contact information
Practice address
2072B E COMMERCIAL AVE, LOWELL, IN 46356-2116
(219) 696-8916
(219) 696-6880
Mailing address
2072B E COMMERCIAL AVE, LOWELL, IN 46356-2116
(219) 696-8916
(219) 696-6880
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001448A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154338945
BCBS 000000499830
IN
01
—
1699820241
BCBS 000000380552
IN
Enumeration date
02/11/2009
Last updated
02/11/2009
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