Organization · Type 2 NPI
Mungovan Chiropractic PC
Chiropractor · Fort Wayne, IN
NPI number
1154533354
Active
Practice location
4705 Illinois Rd Ste 102
Fort Wayne, IN 46804-5108
Fax (260) 447-0827
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 08001044 (IN) |
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.
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About NPI 1154533354
Mungovan Chiropractic PC's National Provider Identifier is 1154533354, issued on May 3, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Apr 9, 2013.