NPI | 1326252008 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOK MATTHEW BOWHAY President 308-632-7094 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NE 861) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: NE 847) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2007-07-24 |