| NPI | 1083820302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE BADIAC Office Manager 260-486-1886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000717A) |
| Additional Taxonomies | 111NR0400X (Licence: IN 08002245A) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-06-27 |