| NPI | 1306070388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE JACOBUS Office Manager 219-661-9161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001716A) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2009-05-06 |