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Dr. Brent Frank Lewallen, DC
Chiropractor in Goshen, Indiana
NPI 1871520122

Brent Frank Lewallen is a Chiropractor based in Goshen, IN. Brent Frank Lewallen practices in Goshen, IN and has the professional credentials of DC. The NPI Number for Brent Frank Lewallen is 1871520122 and holds a License No. 08001227A (Indiana).

The current practice location address for Brent Frank Lewallen is 909 Linway Dr, Goshen, IN and can be reached out via phone at 574-534-4400 and via fax at 574-534-5855. You can also correspond with Brent Frank Lewallen through the mailing address at 909 LINWAY DR, GOSHEN, IN - 46526-2431 (mailing address contact number: 574-534-4400).

Location: 909 Linway Dr, Goshen, IN, 46526-2431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871520122
Provider Name
Brent Frank Lewallen
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
909 Linway Dr, Goshen, IN, 46526-2431
Phone Number
574-534-4400
Fax Number
574-534-5855
Provider Enumeration Date
06/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100366320 05 IN
institution
Provider Business Practice Location Address Details
Address
909 Linway Dr
City
Goshen
State
Indiana
Zip
46526-2431
Phone Number
574-534-4400
Fax Number
574-534-5855
person
Provider Business Mailing Address Details
Address
909 Linway Dr
City
Goshen
State
Indiana
Zip
46526-2431
Phone Number
574-534-4400
Fax Number
574-534-5855
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
08001227A (Illinois)
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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