| NPI | 1578809588 |
|---|---|
| Doing Business As | CHH BACK AND SPINE CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN FOWLER CEO 304-526-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2015-11-20 |