Provider Demographics
NPI:1174048532
Name:PORTERFIELD, CHASE M (DC)
Entity type:Individual
Prefix:DR
First Name:CHASE
Middle Name:M
Last Name:PORTERFIELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 S 325 E
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-7716
Mailing Address - Country:US
Mailing Address - Phone:317-709-6682
Mailing Address - Fax:
Practice Address - Street 1:5002 S 325 E
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-7716
Practice Address - Country:US
Practice Address - Phone:317-709-6682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCHR.0007677111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor