| NPI | 1730563776 |
|---|---|
| Doing Business As | HEALTH SOURCE OF BS |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY STOWE Administrator 269-471-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2015-07-18 |
| Last Update Date | 2015-07-18 |