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 |
Enumeration Date | 2006-12-21 |
Last Update Date | 2025-08-29 |