NPI | 1184862633 |
---|---|
Doing Business As | LAKESHORE FAMILY CHIROPRACTIC HEALTH & WELLNESS |
Entity Type | Organization |
Authorized Contact | JASON JAMES TIEL Owner/Operator 616-850-0580 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MI 2301009493) |
Enumeration Date | 2009-01-21 |
Last Update Date | 2009-01-21 |