NPI | 1265446611 |
---|---|
Former Legal Business Name | KASPRZAK, PRINCE & DHARLA LLC |
Entity Type | Organization |
Authorized Contact | DAWN K KASPRZAK President 219-322-7041 |
Organization Subpart ? | No |
Primary Taxonomy | 305S00000X Point of Service (Licence: IN 01045179A) |
Additional Taxonomies | 305S00000X Point of Service (Licence: IL 336019925) |
Enumeration Date | 2006-07-28 |
Last Update Date | 2013-11-08 |