NPI | 1114465820 |
---|---|
Entity Type | Organization |
Authorized Contact | JAY HARMON HAUPTMAN Owner/Chiropractor 636-639-8944 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2016044965) |
Enumeration Date | 2017-02-02 |
Last Update Date | 2017-02-02 |