NPI | 1003318791 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN DEMEO MAYNARD Owner/Chiropractor 219-241-6188 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08003018A) |
Enumeration Date | 2018-03-08 |
Last Update Date | 2018-03-08 |