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 |