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James C Mattern, DC,PC
Chiropractor in West Lafayette, Indiana
NPI 1568648830

James C Mattern is a Chiropractor based in West Lafayette, IN. James C Mattern practices in West Lafayette, IN and has the professional credentials of DC,PC. The NPI Number for James C Mattern is 1568648830 and holds a License No. 08001204A (Indiana).

The current practice location address for James C Mattern is 1231 Cumberland Ave #D, West Lafayette, IN and can be reached out via phone at 765-463-7337 and via fax at 765-497-4393.

Location: 1231 Cumberland Ave #D, West Lafayette, IN, 47906-1358
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568648830
Provider Name
James C Mattern
Credential
DC,PC
Provider Entity Type
Individual
Gender
Male
Address
1231 Cumberland Ave #D, West Lafayette, IN, 47906-1358
Phone Number
765-463-7337
Fax Number
765-497-4393
Provider Enumeration Date
01/16/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100232700A 05 IN
352009282001 01 IN ANTHEM EIN W/SUFFIX
352009282100 01 IN CARESOURCE MEDICAID MCP
08001204A 01 IN STATE LICENSE
350048296 01 IN RAILROAD MEDICARE
000000092081 01 IN ANTHEM
00630 01 IN ANTHEM MEDICAID
institution
Provider Business Practice Location Address Details
Address
1231 Cumberland Ave #D
City
West Lafayette
State
Indiana
Zip
47906-1358
Phone Number
765-463-7337
Fax Number
765-497-4393
person
Provider Business Mailing Address Details
Address
1231 Cumberland Ave #D
City
West Lafayette
State
Indiana
Zip
47906-1358
Phone Number
765-463-7337
Fax Number
765-497-4393
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001204A (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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