NPI | 1104591106 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID LUSHINSKY Owner 317-385-7620 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 111N00000X Chiropractor |
163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
Enumeration Date | 2021-08-11 |
Last Update Date | 2021-08-11 |