| NPI | 1205821899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARSHALL M. POOR President 812-331-8168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01040149) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01051484) |
| 174400000X Specialist (Licence: IN 01039391) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-03-05 |