Organization
EATON CHIROPRACTIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY ANN EATON (OWNER OFFICE MANAGER)
(219) 872-5151
Entity
Organization
Contact information
Practice address
8690 W PAHS RD, MICHIGAN CITY, IN 46360-7666
(219) 872-5151
(219) 872-0177
Mailing address
8690 W PAHS RD, MICHIGAN CITY, IN 46360-7666
(219) 872-5151
(219) 872-0177
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002127
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000506158
BCBS PROVIDER NUMBER
IN
01
—
08002127A
STATE LICENSE NUMBER
IN
01
—
1578569471
INDIVIDUAL PROVIDER NPI
IN
05
—
200469660A
—
IN
Enumeration date
05/23/2007
Last updated
02/27/2013
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