Provider Demographics
NPI:1144612706
Name:CROWDER FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:CROWDER FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:CROWDER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:219-669-8907
Mailing Address - Street 1:9922 ARTHUR CT
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-2357
Mailing Address - Country:US
Mailing Address - Phone:219-669-8907
Mailing Address - Fax:
Practice Address - Street 1:11 E JOLIET ST
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-2010
Practice Address - Country:US
Practice Address - Phone:219-864-8284
Practice Address - Fax:219-864-8280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-19
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002491A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty