| NPI | 1598288839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JOHN BACKHAUS Independent Contractor 712-249-1739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IA 087467) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2019-05-07 |