NPI | 1891813366 |
---|---|
Doing Business As | CARROLL CHIROPRACTIC AND SPORTS INJURY CENTER |
Entity Type | Organization |
Authorized Contact | JEFFREY N WALLACE Owner 141-087-6888 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: MD s01780) |
Enumeration Date | 2007-03-26 |
Last Update Date | 2023-10-09 |