Organization
BACK TO HEALTH WELLNESS CENTER, P.C,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW C KIRKHAM D.C. (PRESIDENT)
(219) 326-5100
Entity
Organization
Contact information
Practice address
2504 MONROE ST, LA PORTE, IN 46350-5241
(219) 326-5100
(219) 326-0180
Mailing address
2504 MONROE ST, LA PORTE, IN 46350-5241
(219) 326-5100
(219) 326-0180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/14/2009
Last updated
01/14/2009
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