Provider Demographics
NPI:1992162036
Name:MARCEL GARCIA CHIROPRACTIC LLC
Entity type:Organization
Organization Name:MARCEL GARCIA CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:GARCIA-HOSOKAWA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:812-306-4671
Mailing Address - Street 1:319 NW MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47708-1903
Mailing Address - Country:US
Mailing Address - Phone:812-423-9146
Mailing Address - Fax:775-766-6516
Practice Address - Street 1:319 NW MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47708-1903
Practice Address - Country:US
Practice Address - Phone:812-423-9146
Practice Address - Fax:775-766-6516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-20
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002877A111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty