Individual provider · Type 1 NPI
Mark Charles Grant
Chiropractor · La Porte, IN
NPI number
1477730141
Active
Practice location
451 Pine Lake Ave
La Porte, IN 46350-2314
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 08001545 (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.
Another provider at this address
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- Timothy Joseph Gurrola, DCChiropractor La Porte, IN NPI 1548280019
- Sandra A. Clark, DCChiropractor La Porte, IN NPI 1861423527
- Kimberly K. Smith, DCChiropractor La Porte, IN NPI 1891665436
About NPI 1477730141
Mark Charles Grant's National Provider Identifier is 1477730141, issued on Jan 24, 2008. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in La Porte, IN. The record was last updated on Jan 24, 2008.