Allen County Chiropractic LLC

Primary specialty

Nutrition ChiropractorTaxonomy code 111NN1001X

Legal business name

ALLEN COUNTY CHIROPRACTIC LLC

Doing business as

Allen County Chiropractic Wellness Center

Practice address

6320 Constitution Dr
Fort Wayne, IN 46804-1518

Phone

(260) 432-7339

NPI assigned

Nov 19, 2010

Last updated

Jul 22, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Monique Lillian Marie Levesque-Hartle, D.C.NPI 1477650497

Title

President

Phone

(260) 432-7339

Specialties & licenses 1

Addresses

Other names 1

• Allen County Chiropractic Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Monique Lillian Marie Levesque-Hartle, D.C.

  • Nutrition Chiropractor
  • Fort Wayne, IN
  • NPI 1477650497
  Medicare reassignment Care Compare group NPD Authorized official
• Shannon Lee Nierman, D.C.

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1598081440
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1093017303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-432-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 CONSTITUTION DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041518",
            "telephone_number": "260-432-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN COUNTY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "LEVESQUE-HARTLE",
        "authorized_official_first_name": "MONIQUE",
        "authorized_official_middle_name": "LILLIAN MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-432-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allen County Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Lydia Allcock, LMHC
• Allen County Cardiology LLC
• Allen County Council on Aging, Inc.
• Allen County Drug and Alcohol Consortium, Inc.
• Allen County Family & Sports Chiropractic
• Allen County Internal Medicine PC
• Allen County OB-GYN Associates, PC

• Nutrition Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Nutrition Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.