Provider Demographics
NPI:1588857940
Name:CHIROPRACTIC PLUS, PC
Entity type:Organization
Organization Name:CHIROPRACTIC PLUS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:HORVATH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:219-738-1925
Mailing Address - Street 1:9111 BROADWAY
Mailing Address - Street 2:SUITE AA
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-8122
Mailing Address - Country:US
Mailing Address - Phone:219-738-1925
Mailing Address - Fax:219-736-9456
Practice Address - Street 1:9111 BROADWAY
Practice Address - Street 2:SUITE AA
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-8122
Practice Address - Country:US
Practice Address - Phone:219-738-1925
Practice Address - Fax:219-736-9456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001981A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000389991OtherBC/BS
IN200322870AMedicaid
IN000000389991OtherBC/BS
IN200322870AMedicaid