| NPI | 1407044464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONTOH MONROE SIMPSON President 419-747-9355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 2945) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: OH 2945) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-12-12 |