Shallow Chiropractic Pc in Dearborn - Chiropractor
Shallow Chiropractic Pc - NPI 1710988068
Shallow Chiropractic Pc is a Chiropractor in Dearborn, Michigan. Shallow Chiropractic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shallow Chiropractic Pc is 1710988068. The last update date is 2020-08-22.
Shallow Chiropractic Pc's current location address is 24820 Michigan Ave, Dearborn, Michigan. You can contact this provider via phone number 3132773766 and fax number 3132777196. The mailing address for Shallow Chiropractic Pc is 24820 Michigan Ave, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shallow Chiropractic Pc |
|---|---|
| Address | 24820 Michigan Ave, Dearborn, Michigan |
| Phone Number | 3132773766 |
| Fax Number | 3132777196 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Shallow Joe Randy |
| Credentials | DC |
| Telephone Number | 3132773766 |
NPI Number Detail
| NPI Number | 1710988068 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 24820 Michigan Ave |
|---|---|
| City | Dearborn |
| State | Michigan (MI) |
| Post Code | 481241713 |
| Phone Number | 3132773766 |
| Fax Number | 3132777196 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301004116 |
|
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 |
|---|---|---|---|
| RS004116 | MI | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to Shallow Chiropractic Pc by the Centers for Medicare & Medicaid Services?
The Shallow Chiropractic Pc has been issued the NPI (National Provider Identifier) 1710988068. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shallow Chiropractic Pc's physical address?
The Shallow Chiropractic Pc is physically located at 24820 Michigan Ave, in the city of Dearborn, MI, with the postal code 481241713.
What is Shallow Chiropractic Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shallow Chiropractic Pc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did Shallow Chiropractic Pc receive its 1710988068 assignment?
The Shallow Chiropractic Pc was assigned its 1710988068 on 2005-08-09, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Shallow Chiropractic Pc most recently updated or revised?
The details related to Shallow Chiropractic Pc, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.