NPI | 1043493745 |
---|---|
Doing Business As | BACK IN SHAPE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | ANTHONY QUANG NGUYEN Chiropractor Owner 650-343-4600 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CA DC29171) |
Enumeration Date | 2007-12-17 |
Last Update Date | 2008-07-09 |