| NPI | 1184616641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD J. FARABAUGH Owner 614-898-0787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 939) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: OH 3799) |
| 111N00000X Chiropractor (Licence: OH 1746) | |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2011-07-19 |