| NPI | 1629252382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN JAMES FILLMORE Chiropractor 419-472-8790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN1001X Chiropractor Nutrition (Licence: OH 3009) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |