Organization
PROFESSIONAL PRACTICE RESOURCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S. MEYER D.C. (PRESIDENT)
(574) 266-5577
Entity
Organization
Contact information
Practice address
1514 E BRISTOL ST, ELKHART, IN 46514-3659
(574) 266-5577
Mailing address
1514 E BRISTOL ST, ELKHART, IN 46514-3659
(574) 266-5577
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000523A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000363584
BLUE CROSS / BLUE SHIELD
IN
05
—
100111970B
—
IN
01
—
P00429129
RAILROAD MEDICARE
—
Enumeration date
04/23/2008
Last updated
09/10/2014
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