NPI 1760506554 · live from the CMS NPI Registry
Dale Lee Beauvais, DC
Chiropractor in Valparaiso, IN. National Provider Identifier 1760506554, active.
NPI record
| NPI | 1760506554 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 2600 Roosevelt Rd, Valparaiso, IN 46383 |
| Practice phone | 219-465-5015 |
| Mailing address | Po Box 1009, Valparaiso, IN 46384 |
| Enumerated | March 19, 2007 |
| Last updated | June 29, 2015 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 08001767A (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.