Organization
BRIAN T CASSANI DC PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN THOMAS CASSANI DC (PRESIDENT)
(219) 464-0103
Entity
Organization
Contact information
Practice address
2600 N ROOSEVELT RD, SUITE 1002, VALPARAISO, IN 46383-0972
(219) 464-0103
(219) 548-3828
Mailing address
PO BOX 1547, VALPARAISO, IN 46384-1547
(219) 464-0103
(219) 548-3828
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001122A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100148130
—
IN
Enumeration date
04/19/2007
Last updated
05/13/2008
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