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BROADWAY PLAZA PAIN RELIEF CENTER NPI 1184024937


NPI Information

NPI: 1184024937
Provider Name: BROADWAY PLAZA PAIN RELIEF CENTER

Doing Business As: HALL CHIROPRACTIC PAIN RELIEF CENTER

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
801 W GLEN PARK AVE
GRIFFITH, IN
ZIP 46319
Phone: (219) 924-2112
Get Directions

BROADWAY PLAZA PAIN RELIEF CENTER is a chiropractor in Griffith, IN. The provider is 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. BROADWAY PLAZA PAIN RELIEF CENTER NPI is 1184024937. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Hall Chiropractic Pain Relief Center.

The provider's business location address is:

801 W GLEN PARK AVE
GRIFFITH, IN
ZIP 46319-087
Phone: (219) 924-2112
Fax: (219) 924-2114

The provider's authorized official is Robert E Hall .
The authorized official title is Owner and has the following contact phone number (219) 924-2112.

The enumeration date for this NPI number is 8/29/2014 and was last updated on 8/29/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor08001395AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U06258MEDICARE UPININDIANA
2100338150MEDICAIDINDIANA
3405430MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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