| 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 |