Hazel Park Chiropractic in Hazel Park - Chiropractor

Hazel Park Chiropractic - NPI 1699791293

Hazel Park Chiropractic is a Chiropractor in Hazel Park, Michigan. Hazel Park Chiropractic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Hazel Park Chiropractic is 1699791293. The last update date is 2020-08-22.

Hazel Park Chiropractic's current location address is 24503 John R Rd, Hazel Park, Michigan. You can contact this provider via phone number 2485431660. The mailing address for Hazel Park Chiropractic is 24503 John R Rd, Hazel Park, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Hazel Park Chiropractic
Address 24503 John R Rd, Hazel Park, Michigan
Phone Number 2485431660
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Puumala Paul Mark
Credentials D.C.
Telephone Number 2485431660

NPI Number Detail

NPI Number 1699791293
Provider Enumeration Date 2006-07-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 24503 John R Rd
City Hazel Park
State Michigan (MI)
Post Code 480301141
Phone Number 2485431660
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2301006632
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
OF35258 MI BLUE CROSS BLUE SHIELD OF

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FAQs about Hazel Park Chiropractic

What is the Hazel Park Chiropractic's 1699791293?

The Hazel Park Chiropractic's NPI (National Provider Identifier) Number is 1699791293. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Hazel Park Chiropractic's facilities are situated?

The facilities of Hazel Park Chiropractic are physically located at the following address: 24503 John R Rd, Hazel Park, MI, 480301141.

What is Hazel Park Chiropractic's specialized field of practice, and what is the corresponding taxonomy classification code?

The Hazel Park Chiropractic's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

On what date did Hazel Park Chiropractic receive its 1699791293 assignment from the Centers for Medicare & Medicaid Services?

The Hazel Park Chiropractic was assigned its 1699791293 on 2006-07-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Hazel Park Chiropractic most recently updated or refreshed?

The details pertaining to the Hazel Park Chiropractic, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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