Organization
LEER CHIROPRACTIC CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD W LEER DC (PRESIDENT)
(260) 897-3001
Entity
Organization
Contact information
Practice address
212 S MAIN ST, LAOTTO, IN 46763-0218
(260) 897-3001
Mailing address
PO BOX 218, LAOTTO, IN 46763-0218
(260) 897-3001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
51000066A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4542354
AETNA INS CO
—
Enumeration date
12/05/2006
Last updated
11/22/2010
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