| NPI | 1528122611 |
|---|---|
| Former Legal Business Name | CRAIG L JORDAN DC SC |
| Entity Type | Organization |
| Authorized Contact | JOHN P CORSI CFO 414-327-6767 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: WI 1341012) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2019-12-19 |