Healthcare Provider Details

I. General information

NPI: 1265868376
Provider Name (Legal Business Name): ACCORD CHIROPRACTIC, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2013
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date: 01/04/2023
Reactivation Date: 02/07/2023

III. Provider practice location address

7822 E RIDGE RD
HOBART IN
46342-2468
US

IV. Provider business mailing address

7822 E RIDGE RD
HOBART IN
46342-2468
US

V. Phone/Fax

Practice location:
  • Phone: 219-962-8128
  • Fax: 219-979-9235
Mailing address:
  • Phone: 219-962-8128
  • Fax: 219-979-9235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number08001300A
License Number StateIN

VIII. Authorized Official

Name: THOMAS REDFIELD JR.
Title or Position: PRESIDENT
Credential: DC
Phone: 219-962-8128