Provider Demographics
NPI:1831321389
Name:ALARIE CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:ALARIE CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RENEL
Authorized Official - Middle Name:GERALD
Authorized Official - Last Name:ALARIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:260-244-6776
Mailing Address - Street 1:514 N LINE ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA CITY
Mailing Address - State:IN
Mailing Address - Zip Code:46725-1230
Mailing Address - Country:US
Mailing Address - Phone:260-244-6776
Mailing Address - Fax:
Practice Address - Street 1:514 N LINE ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA CITY
Practice Address - State:IN
Practice Address - Zip Code:46725-1230
Practice Address - Country:US
Practice Address - Phone:260-244-6776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-18
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08001936A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty