NPI | 1255684684 |
---|---|
Doing Business As | HEALTHSOURCE CHIROPRACTIC SOUTH TOLEDO |
Entity Type | Organization |
Authorized Contact | SHAWN BROHL Chiropractor 419-720-1472 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2089) |
Enumeration Date | 2012-10-23 |
Last Update Date | 2020-10-02 |