Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 080557 | IA |
N | 111N00000X | Chiropractor | 514012 | WI |
NPI | 1003281775 |
---|---|
Provider Name | Dr. Emily Stoulil |
First Address | Eldora, IA 50627-1631 |
Second Address | Eldora, IA 50627-1631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2015 |
Last Update Date | 07/12/2015 |