| NPI | 1316119530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SCOTT MARTIN President/Owner 219-398-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001269A) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |