| NPI | 1982126181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA JAMES SHIDELES Owner/President 850-830-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0013X Chiropractor Independent Medical Examiner |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: WA 60284738) |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2022-12-09 |