NPI | 1770778664 |
---|---|
Doing Business As | STATELINE CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | BRANDON L HATCH Doctor Of Chiropractic Owner 541-938-8300 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: OR 273489) |
Enumeration Date | 2007-09-13 |
Last Update Date | 2007-11-20 |