| NPI | 1396263513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SHAFER Owner/Physician 269-598-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4259) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: NC 4279) |
| 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NC 4259) | |
| 111NI0013X Chiropractor, Independent Medical Examiner (Licence: NC 4279) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |