| NPI | 1396198867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD LOVELESS Owner 812-924-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71004676B) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: IN 08002765A) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |