NPI | 1477837037 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFERY P SCHOONOVER Owner/Director 317-348-3023 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: IN 01060951A) |
Enumeration Date | 2011-09-30 |
Last Update Date | 2025-09-25 |