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Mungovan Chiropractic Pc
Chiropractor in Fort Wayne, Indiana
NPI 1154533354

Mungovan Chiropractic Pc is a Chiropractor based in Fort Wayne, IN. Mungovan Chiropractic Pc practices in Fort Wayne, IN. The NPI Number for Mungovan Chiropractic Pc is 1154533354 and holds a License No. 08001044 (Indiana).

The current practice location address for Mungovan Chiropractic Pc is 4705 Illinois Rd Ste 102, Fort Wayne, IN and can be reached out via phone at 260-447-1067 and via fax at 260-447-0827.

Location: 4705 Illinois Rd Ste 102, Fort Wayne, IN, 46804-5108
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1154533354
Provider Name
Mungovan Chiropractic Pc
Credential
Provider Entity Type
Organization
Address
4705 Illinois Rd Ste 102, Fort Wayne, IN, 46804-5108
Phone Number
260-447-1067
Fax Number
260-447-0827
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
226000A 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
4705 Illinois Rd Ste 102
City
Fort Wayne
State
Indiana
Zip
46804-5108
Phone Number
260-447-1067
Fax Number
260-447-0827
person
Provider Business Mailing Address Details
Address
4705 Illinois Rd Ste 102
City
Fort Wayne
State
Indiana
Zip
46804-5108
Phone Number
260-447-1067
Fax Number
260-447-0827
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001044 (Indiana)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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