NPI | 1275651176 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL M ETTLINGER Owner/Single Member 410-356-9939 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 01788) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2012-03-01 |