| NPI | 1386765279 |
|---|---|
| Doing Business As | SOUTHSIDE PAIN SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL T CEREFIN President 317-884-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001590) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05007356A) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-06-06 |