Organization
JOHN N. KOSTIDIS
Active
Other names
Kostidis Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N KOSTIDIS D.C. (CHIROPRACTOR)
(219) 465-1140
Entity
Organization
Contact information
Practice address
4004 CAMPBELL ST, VALPARAISO, IN 46385-1773
(219) 465-1140
(219) 465-0903
Mailing address
PO BOX 2387, VALPARAISO, IN 46384-2387
(219) 465-1140
(219) 465-0903
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08000556A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000283870
ANTHEM IND
IN
01
—
000000284649
ANTHEM IND
IN
01
—
000000488762
ANTHEM IND
IN
01
—
084890
MEDICARE GRP
IN
01
—
1467491209
ANTHEM
IN
01
—
1639128929
ANTHEM
IN
01
—
1801819305
ANTHEM
IN
05
—
200441700A
—
IN
01
—
4471101
AETNA
IN
01
—
603682
ACN IND
IN
01
—
609638
ACN IND
IN
01
—
667535
ACN IND
IN
Enumeration date
12/04/2007
Last updated
12/07/2011
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