NPI | 1861609638 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCAS CHADD WATTERSON Partner 304-292-7740 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: WV 771) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WV 770) |
Enumeration Date | 2007-05-17 |
Last Update Date | 2008-07-09 |