NPI | 1811916000 |
---|---|
Former Legal Business Name | COYLE CHIROPRACTIC INC |
Entity Type | Organization |
Authorized Contact | BRIAN EDWARD COYLE President 408-264-6644 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CA DC15169) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CA DC20945) |
207R00000X Internal Medicine (Licence: CA 20A6277) | |
Enumeration Date | 2006-07-19 |
Last Update Date | 2020-05-30 |