| NPI | 1366549586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAD ALAN FOSTER Owner 419-238-6686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08002260A) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 8002146A) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |