| NPI | 1255517108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE ROBERT EIBAN Doctor/Owner 757-495-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: VA 0104000382) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2014-08-27 |