NPI | 1588784003 |
---|---|
Former Name | BRIAN MICHAEL DIX |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OH 3738) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH 9065) |
111N00000X Chiropractor (Licence: SC 3200) | |
111N00000X Chiropractor (Licence: GA CHIR007675) | |
Enumeration Date | 2007-03-29 |
Last Update Date | 2022-08-12 |