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Contact Information

ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC
3835 W JEFFERSON BLVD
FORT WAYNE, IN46804-6809
 Phone: 260-432-7339
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
 

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC

NPI # 1205933165
LBN Legal business name ALLEN COUNTY FAMILY & SPORTS CHIROPRACTIC
Authorized official MONIQUE LEVESQUE-HARTLE - (VICE PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
IN License # 08001622
IN License # 08001638
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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