NPI | 1851562409 |
---|---|
Former Legal Business Name | PORTAGE FAMILY CHRIOPRACTIC |
Entity Type | Organization |
Authorized Contact | ANNA SCHEUNEMAN Authorized Official 269-345-2273 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Enumeration Date | 2008-03-21 |
Last Update Date | 2019-06-27 |