Organization
ANDREW G. DIBLEY, D.C., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW G. DIBLEY D.C., C.C.S.P. (OWNER)
(574) 264-9174
Entity
Organization
Contact information
Practice address
1709 E BRISTOL ST, ELKHART, IN 46514-6606
(574) 264-9174
(574) 262-4070
Mailing address
1709 E BRISTOL ST, ELKHART, IN 46514-6606
(574) 264-9174
(574) 262-4070
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08001099
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
350055661
—
IN
Enumeration date
10/13/2008
Last updated
10/13/2008
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