NPI | 1306954466 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM JAMES LYDEN President & CEO 574-258-4444 |
Organization Subpart ? | No |
Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: IN 08002006A) |
Enumeration Date | 2006-08-29 |
Last Update Date | 2016-03-30 |