Organization
TITUS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK OWEN TITUS DC (PRESIDENT)
(219) 465-6407
Entity
Organization
Contact information
Practice address
370 E 300 N, VALPARAISO, IN 46383
(219) 465-6407
(219) 531-9035
Mailing address
370 E 300 N, VALPARAISO, IN 46383
(219) 465-6407
(219) 531-9035
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001182
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292111
BLUE SHIELD
IN
Enumeration date
02/09/2006
Last updated
08/22/2020
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