Organization
COMMUNITY CHIROPRACTIC-PORTAGE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN R. STITT D.C. (CHIROPRACTOR)
(219) 763-7970
Entity
Organization
Contact information
Practice address
6325 CENTRAL AVE, PORTAGE, IN 46368-3801
(219) 763-7970
(219) 762-5338
Mailing address
6325 CENTRAL AVE, PORTAGE, IN 46368-3801
(219) 763-7970
(219) 762-5338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002577A
IN
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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