| NPI | 1700957917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA FRY Insurance Billing C.A. 812-235-9752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08000513A) |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2020-08-22 |