| NPI | 1710132758 |
|---|---|
| Doing Business As | PROHEALTH CHIROPRACTIC |
| Entity Type | Organization |
| Authorized Contact | JAY WESLEY BOGAN Owner 317-536-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2008-11-18 |