NPI | 1649270992 |
---|---|
Entity Type | Organization |
Authorized Contact | GEOFFREY JACOB WALBURN Chiropractor/Owner 812-273-4325 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001724A) |
Enumeration Date | 2005-07-28 |
Last Update Date | 2020-08-22 |