NPI | 1063797694 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN G. HEATON Doctor 410-750-2540 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD 1468 PT) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 1467 PT) |
Enumeration Date | 2011-10-14 |
Last Update Date | 2013-01-28 |