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 01039391) |
174400000X Specialist (Licence: IN 01051484) | |
Enumeration Date | 2005-09-20 |
Last Update Date | 2024-03-05 |