| NPI | 1750426896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMIL RICHARD NARDONE President 304-312-3445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: OH 3031) |
| 111NR0400X Chiropractor, Rehabilitation (Licence: WV 736) | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2023-04-25 |