Organization
GASDORF FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHANIEL JOHN GASDORF DC (PRESIDENT)
(260) 665-3533
Entity
Organization
Contact information
Practice address
1960 WESTWOOD DR, ANGOLA, IN 46703-8639
(260) 665-3533
(260) 665-3533
Mailing address
1960 WESTWOOD DR, ANGOLA, IN 46703-8639
(260) 665-3533
(260) 665-3533
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200442340A
—
IN
Enumeration date
10/27/2006
Last updated
09/26/2013
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