| NPI | 1043307267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KONRAD NEIDERT President 330-499-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: OH 1033) |
| Enumeration Date | 2006-10-08 |
| Last Update Date | 2020-08-22 |