Contract Details
Ancillary Care Services
Facility name
Bear Family Chiropractic
Provider ID
P000003764
NPI
1073767687
Tax ID
263794626
Effective Date
4/1/2012
Last Updated
10/21/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
360 North Main Street
Bluffton, IN 46714
United States
County
Wells
Phone
2603531400 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Chiropractic Medicine
Map
Address