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Dr. Dale Lee Beauvais, DC
Chiropractor in Valparaiso, Indiana
NPI 1760506554

Dale Lee Beauvais is a Chiropractor based in Valparaiso, IN. Dale Lee Beauvais practices in Valparaiso, IN and has the professional credentials of DC. The NPI Number for Dale Lee Beauvais is 1760506554 and holds a License No. 08001767A (Indiana).

The current practice location address for Dale Lee Beauvais is 2600 Roosevelt Rd, Valparaiso, IN and can be reached out via phone at 219-465-5015 and via fax at 219-548-3828.

Location: 2600 Roosevelt Rd, Valparaiso, IN, 46384-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760506554
Provider Name
Dale Lee Beauvais
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2600 Roosevelt Rd, Valparaiso, IN, 46384-1009
Phone Number
219-465-5015
Fax Number
219-548-3828
Provider Enumeration Date
03/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200155470C 05 IN
90000986 01 IL IL BC/BS GROUP NO
000000093417 01 IN ANTHEM PROVIDER NUMBER
350049047 01 IN RR MEDICARE GROUP NO
institution
Provider Business Practice Location Address Details
Address
2600 Roosevelt Rd
City
Valparaiso
State
Indiana
Zip
46383-0970
Phone Number
219-465-5015
Fax Number
219-548-3828
person
Provider Business Mailing Address Details
Address
2600 Roosevelt Rd
City
Valparaiso
State
Indiana
Zip
46383-0970
Phone Number
219-465-5015
Fax Number
219-548-3828
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001767A (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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