Provider Demographics
NPI:1619109915
Name:DISCOVER HEALTH CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:DISCOVER HEALTH CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUMMEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:574-941-1086
Mailing Address - Street 1:PO BOX 34
Mailing Address - Street 2:
Mailing Address - City:LAPAZ
Mailing Address - State:IN
Mailing Address - Zip Code:46537-0034
Mailing Address - Country:US
Mailing Address - Phone:574-941-1086
Mailing Address - Fax:
Practice Address - Street 1:2855 MILLER DR
Practice Address - Street 2:STE 101
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-8091
Practice Address - Country:US
Practice Address - Phone:574-941-1086
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002274A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty