NPI | 1184028490 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN A BRODERICK Office Manager 574-264-4151 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000723A) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08000306A) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2014-10-15 |