NPI | 1750357851 |
---|---|
Other Name | RENNIE J STATLER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: NY X008481-1) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CT 001215) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2018-12-18 |