| NPI | 1063779981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SHEPPARD Owner 317-849-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000647A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002358A) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |