NPI | 1013184175 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM SHAY GREENLEE VP Incorporator 812-490-9800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002036A) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2012-12-13 |