NPI | 1033167432 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMIE L KIRGIS Owner 260-244-3665 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001982A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08001923A) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2020-08-22 |