| NPI | 1285903070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C. BROWN Owner 574-753-4871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 482) |
| Additional Taxonomies | 111NR0200X Chiropractor, Radiology (Licence: IN 482) |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |