| NPI | 1881070738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREN C BERGQUIST Doctor Of Chiropractic 704-237-4304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: NC 4574) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |