Provider Demographics
NPI:1710173356
Name:GINTHER FAMILY CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:GINTHER FAMILY CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:
Authorized Official - Last Name:GINTHER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:574-262-3388
Mailing Address - Street 1:4000 E BRISTOL ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46514-6949
Mailing Address - Country:US
Mailing Address - Phone:574-262-3388
Mailing Address - Fax:574-266-4536
Practice Address - Street 1:4000 E BRISTOL ST
Practice Address - Street 2:SUITE 6
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46514-6949
Practice Address - Country:US
Practice Address - Phone:574-262-3388
Practice Address - Fax:574-266-4536
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002324A261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service