GRANT CHIROPRACTIC CLINIC, INC (NPI# 1144372939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144372939 |
| Entity Type | Organization |
| Organization Name | GRANT CHIROPRACTIC CLINIC, INC |
| Practice Address |
451 Pine Lake Ave La Porte IN 46350-2314 |
| Practice Telephone | 2193623766 |
| Practice Fax Number | 2193258715 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-12-20 |
| Authorized Official Name | MR. MARK GRANT (PRESIDENT) |
| Authorized Official Telephone | 2193623766 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001545 | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100385070A | 05 |
| Street Address |
451 PINE LAKE AVE |
| City | LA PORTE |
| State | IN |
| Zip Code | 46350-2314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477730141 | Mark Charles Grant | Chiropractor | 451 Pine Lake Ave, La Porte, IN 46350-2314 | 2008-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871139246 | Carolyn Ann Perra | Pharmacist | 55 Pine Lake S.c., Laporte, IN 46350 | 2019-11-20 |
| 1306496492 | Trinity Healthcare Inc. | Occupational Therapist | 2002 Andrew Avenue, Laporte, IN 46350 | 2019-09-19 |
| 1184136665 | Diane Margaret Rich | Physical Therapist | 1643 S Willow Bend Dr, La Porte, IN 46350 | 2017-10-24 |
| 1114460102 | Judith Marie Fitzhugh | Dietitian, Registered | 1775 S. Basswood Trail, Laporte, IN 46350 | 2016-11-23 |
| 1568916971 | Total Renal Care, Inc. | Clinic/Center | 1406 E Lincolnway, Ste A, La Porte, IN 46350 | 2016-08-15 |
| 1083079008 | Irene Torres | Nurse Practitioner | 1407 Lincolnway, La Porte, IN 46350 | 2015-12-17 |
| 1124422910 | Becky Alwood-wallace | Occupational Therapist | 1203 Washington Street, Iu Health La Porte Hospital Wellness & Rehabilitation, La Porte, IN 46350 | 2014-10-22 |
| 1881001527 | Johnson Memorial Hospital | Skilled Nursing Facility | 3530 Monroe Street, La Porte, IN 46350 | 2014-07-15 |
| 1306268941 | Tiffany Anne Satterfield | Physical Therapy Assistant | 194 S 400 E, Laporte, IN 46350 | 2014-01-16 |
| 1801122239 | Mary Barbara Backer | Internal Medicine | 301 Willow Bend Dr, La Porte, IN 46350 | 2009-10-20 |
| Find all providers in zip 46350 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720439771 | Morgan Lacy Harris | Chiropractor | 223 Dwire Dr, La Porte, TX 77571-7029 | 2016-06-30 |
| 1386920353 | Danny Louis Rives Jr. | Chiropractor | 10015 Rustic Gate Rd, La Porte, TX 77571-4148 | 2011-10-22 |
| 1871899815 | Jamie Lee Anderson | Chiropractor | 1003 S. Broadway St., La Porte, TX 77571 | 2011-02-09 |
| 1447494984 | Bayside Chiropractic, Pllc | Chiropractor | 410 E Fairmont Pkwy Ste C, La Porte, TX 77571-6486 | 2009-04-28 |
| 1497904700 | Dr. Victor A. Peres, Pllc | Chiropractor | 10932 Spencer Hwy Ste B, La Porte, TX 77571-4302 | 2008-09-10 |
| 1518172188 | Larry Alan Ward | Chiropractor | 10335 Shell Rock, La Porte, TX 77571 | 2007-05-14 |
| 1518034297 | Victor Allen Peres | Chiropractor | 10932 Spencer Hwy, Ste B, La Porte, TX 77571-4302 | 2006-11-29 |
| 1861423527 | Sandra A Clark | Chiropractor | 6646 W Johnson Rd, La Porte, IN 46350-8243 | 2006-07-05 |
| 1659837953 | Elizabeth Villarreal Barcenas | Chiropractor | 10407 W Fairmont Pkwy Ste C, La Porte, TX 77571-6018 | 2019-02-12 |
| 1700332749 | Rassel Family Chiropractic Center | Chiropractor | 1108 Indiana Ave, La Porte, IN 46350-4946 | 2016-08-30 |
| Find all providers in LA PORTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.