| NPI | 1851596175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JOHN TOOLE Direct Owner 219-548-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: IN 08001761A) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |