NPI | 1134247737 |
---|---|
Entity Type | Organization |
Authorized Contact | STACI COUNTERMAN Insurance Billing 260-489-8911 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000981) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2020-08-22 |