| NPI | 1063645752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE LYNN SCHOEFFEL-HAYES Secretary 219-661-8680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002177A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002096A) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2010-11-02 |