DR. DALE LEE BEAUVAIS (NPI# 1760506554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760506554 |
| Entity Type | Individual |
| Full Name | DR. DALE LEE BEAUVAIS |
| Credential | DC |
| Practice Address |
2600 Roosevelt Rd Valparaiso IN 46383-0970 |
| Mailing Address |
Po Box 1009 Valparaiso IN 46384-1009 |
| Practice Telephone | 2194655015 |
| Practice Fax Number | 2195483828 |
| Mailing Telephone | 2194655015 |
| Mailing Fax Number | 2195483828 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2015-06-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 08001767A | IN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000093417 | 01 |
| IN | 200155470C | 05 | |
| IL | IL BC/BS GROUP NO | 90000986 | 01 |
| IN | RR MEDICARE GROUP NO | 350049047 | 01 |
| Street Address |
2600 ROOSEVELT RD |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-0970 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144203183 | Porter County Chiropractic Clinic Inc. | Chiropractor | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | 2005-11-23 |
| 1528293107 | Cancer Health Treatment Centers, P.c | Internal Medicine | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | 2009-05-26 |
| 1841491586 | Gary J Staub | Chiropractor | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | 2007-05-30 |
| 1194849901 | Olusola Ogundipe | Internal Medicine | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | 2007-03-19 |
| 1124097993 | George E Sloan | Internal Medicine | 2600 Roosevelt Rd, Valparaiso, IN 46383-0970 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| 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 |
|---|---|---|---|---|
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1003318791 | 360 Chiropractic LLC | Chiropractor | 450 Lincolnway Ste 110, Valparaiso, IN 46385-5524 | 2018-03-08 |
| 1134530355 | Andrew S Berns | Chiropractor | 4004 Campbell Street, Valparaiso, IN 46385-1772 | 2014-05-09 |
| 1740564129 | Lindsey Doppler | Chiropractor | 505 Silhavy Rd Ste 400, Valparaiso, IN 46383-4446 | 2011-10-04 |
| 1093014359 | Lakia S Brown | Chiropractor | 2211 Roosevelt Rd, Valparaiso, IN 46383-2748 | 2011-03-24 |
| 1467785733 | Ryan Paul Porterfield | Chiropractor | 503 Silhavy Rd, Suite A104, Valparaiso, IN 46383-4494 | 2009-09-17 |
| 1720218183 | Brian Gaylord Hold | Chiropractor | 705 Calumet Ave, Valparaiso, IN 46383-4202 | 2009-07-20 |
| 1346483989 | Cresley Wayne Walker | Chiropractor | 105 Hackney Ln, Valparaiso, IN 46385-6052 | 2009-04-13 |
| 1194909937 | Midwest Mua LLC | Chiropractor | 2402 Primrose Dr, Valparaiso, IN 46383-5958 | 2007-12-27 |
| 1851596175 | Chiropractic Concepts Inc | Chiropractor | 1052 Marsh St Ste E, Valparaiso, IN 46385-6272 | 2007-06-18 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
Please comment or provide details below to improve the information on DR. DALE LEE BEAUVAIS.
| 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.