NPI | 1134345101 |
---|---|
Former Legal Business Name | FIDEL CHIROPRACTIC CENTER |
Entity Type | Organization |
Authorized Contact | ADAM MARC FIDEL Owner 410-484-5642 |
Organization Subpart ? | No |
Primary Taxonomy | 111NR0400X Chiropractor, Rehabilitation (Licence: MD 1340) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2010-03-01 |