Organization
ELITE CHIROPRACTIC & SPORTS CARE PLLC
Active
Other names
Elite Chiropractic & Sports Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL EVAN ROSENTHAL D.C. (OWNER)
(219) 227-8927
Entity
Organization
Contact information
Practice address
931 RIDGE RD, SUITE G, MUNSTER, IN 46321
(219) 227-8927
(866) 322-6960
Mailing address
931 RIDGE RD, SUITE G, MUNSTER, IN 46321-1755
(219) 227-8927
(866) 322-6960
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
08002526A
IN
Other
Enumeration date
10/01/2010
Last updated
07/17/2014
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