NPI | 1104111897 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER P. STYCHNO President/Owner 330-544-3737 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 207R00000X Internal Medicine |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2011-06-10 |
Last Update Date | 2012-10-10 |