Downriver Industrial Clinic Pc in Ecorse - Chiropractor

Downriver Industrial Clinic Pc - NPI 1023124120

Downriver Industrial Clinic Pc is a Chiropractor in Ecorse, Michigan. Downriver Industrial Clinic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Downriver Industrial Clinic Pc is 1023124120. The last update date is 2010-01-14.

Downriver Industrial Clinic Pc's current location address is 4005 W Jefferson Avenue, Ecorse, Michigan. You can contact this provider via phone number 3133824288. The mailing address for Downriver Industrial Clinic Pc is 4005 W Jefferson Avenue, Ecorse, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Downriver Industrial Clinic Pc
Address 4005 W Jefferson Avenue, Ecorse, Michigan
Phone Number 3133824288
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Hoff M Allan
Credentials DC
Telephone Number 3133824288

NPI Number Detail

NPI Number 1023124120
Provider Enumeration Date 2006-08-22
Last Updated Date 2010-01-14

Provider Mailing Address Detail

Address 4005 W Jefferson Avenue
City Ecorse
State Michigan (MI)
Post Code 48229
Phone Number 3133824288
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No AH002423
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
4347487-14 MI --
P25752F MI BLUE CARE NETWORK

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FAQs about Downriver Industrial Clinic Pc

What is the Downriver Industrial Clinic Pc's unique identification number?

The Downriver Industrial Clinic Pc has been assigned the NPI (National Provider Identifier) Number 1023124120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical address where Downriver Industrial Clinic Pc is geographically located?

The Downriver Industrial Clinic Pc is physically situated at the following location: 4005 W Jefferson Avenue, Ecorse, MI, 48229.

What is Downriver Industrial Clinic Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Downriver Industrial Clinic Pc's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did Downriver Industrial Clinic Pc receive its 1023124120 assignment from the Centers for Medicare & Medicaid Services?

The Downriver Industrial Clinic Pc was assigned its 1023124120 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Downriver Industrial Clinic Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Downriver Industrial Clinic Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-01-14.

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