| NPI | 1073713533 |
|---|---|
| Former Legal Business Name | BEAVERCREEK CHIROPRACTIC CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREGORY P PALKOWSKI President 937-426-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 905) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3166) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-09-02 |