| NPI | 1235325267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERROLD J. SIMON President 740-653-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 1066) |
| Additional Taxonomies | 111NN1001X Chiropractor, Nutrition (Licence: OH 1066) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: OH 1066) | |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-10-12 |