NPI | 1982856779 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISHA NICOLE HASS Billing Manager 712-243-5790 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2008-10-13 |
Last Update Date | 2008-10-13 |