Organization
DRACH CHIROPRACTIC, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP W BORUFF D.C. (OWNER/PRESIDENT)
(574) 946-7764
Entity
Organization
Contact information
Practice address
708 N PLYMOUTH RD, WINAMAC, IN 46996-7641
(574) 946-7764
(574) 946-7769
Mailing address
P.O. BOX 193, WINAMAC, IN 46996-0193
(574) 946-7764
(574) 946-7769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002203A
IN
111N00000X
Chiropractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200520760
—
IN
05
—
200941340
—
IN
Enumeration date
01/29/2009
Last updated
02/27/2012
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