| NPI | 1538597679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD J ERNSTROM Owner/Chiropractor 208-520-7109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: MO 2010016363) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |