Organization
PORTERFIELD FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PORTERFIELD D.C. (OWNER/MEDICAL DIRECTOR)
(219) 850-1031
Entity
Organization
Contact information
Practice address
503 SILHAVY RD, SUITE A104, VALPARAISO, IN 46383-4494
(219) 850-1031
Mailing address
503 SILHAVY RD, SUITE A104, VALPARAISO, IN 46383-4494
(219) 850-1031
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002471A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000858101
ANTHEM
IN
05
—
201209660A
—
IN
Enumeration date
01/27/2014
Last updated
04/25/2014
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