Edgerton Chiropractic Clinic Inc in Brockway - Chiropractor
Edgerton Chiropractic Clinic Inc - NPI 1144316266
Edgerton Chiropractic Clinic Inc is a Chiropractor in Brockway, Michigan. Edgerton Chiropractic Clinic Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Edgerton Chiropractic Clinic Inc is 1144316266. The last update date is 2014-06-16.
Edgerton Chiropractic Clinic Inc's current location address is 7616 Brockway Rd, Brockway, Michigan. You can contact this provider via phone number 8103873342 and fax number 8103873543. The mailing address for Edgerton Chiropractic Clinic Inc is 7616 Brockway Rd, Brockway, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgerton Chiropractic Clinic Inc |
|---|---|
| Address | 7616 Brockway Rd, Brockway, Michigan |
| Phone Number | 8103873342 |
| Fax Number | 8103873543 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Edgerton Lee Brent |
| Credentials | DC |
| Telephone Number | 8103873342 |
NPI Number Detail
| NPI Number | 1144316266 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2014-06-16 |
Provider Mailing Address Detail
| Address | 7616 Brockway Rd |
|---|---|
| City | Brockway |
| State | Michigan (MI) |
| Post Code | 480973408 |
| Phone Number | 8103873342 |
| Fax Number | 8103873543 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | BE006504 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 950G411160 | MI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Edgerton Chiropractic Clinic Inc by the Centers for Medicare & Medicaid Services?
The Edgerton Chiropractic Clinic Inc has been issued the NPI (National Provider Identifier) 1144316266, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Edgerton Chiropractic Clinic Inc?
The Edgerton Chiropractic Clinic Inc is situated at 7616 Brockway Rd, in the city of Brockway, state of MI, with the zip code 480973408.
What is Edgerton Chiropractic Clinic Inc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edgerton Chiropractic Clinic Inc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1144316266 to Edgerton Chiropractic Clinic Inc?
The Centers for Medicare & Medicaid Services originally issued the 1144316266 to Edgerton Chiropractic Clinic Inc on 2006-10-05.
When was the information related to Edgerton Chiropractic Clinic Inc most recently updated or refreshed?
The details pertaining to the Edgerton Chiropractic Clinic Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-06-16.