Life Cycle Family Chiropractic, Pc in Milan - Chiropractor

Life Cycle Family Chiropractic, Pc - NPI 1336280817

Life Cycle Family Chiropractic, Pc is a Chiropractor in Milan, Michigan. Life Cycle Family Chiropractic, Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Life Cycle Family Chiropractic, Pc is 1336280817. The last update date is 2012-01-25.

Life Cycle Family Chiropractic, Pc's current location address is 1162 Dexter St, Milan, Michigan. You can contact this provider via phone number 7344390100 and fax number 7344397701. The mailing address for Life Cycle Family Chiropractic, Pc is 1162 Dexter St, Milan, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Life Cycle Family Chiropractic, Pc
Address 1162 Dexter St, Milan, Michigan
Phone Number 7344390100
Fax Number 7344397701
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Wagner Matthew James
Credentials D.C.
Telephone Number 7344390100

NPI Number Detail

NPI Number 1336280817
Provider Enumeration Date 2007-02-09
Last Updated Date 2012-01-25

Provider Mailing Address Detail

Address 1162 Dexter St
City Milan
State Michigan (MI)
Post Code 481601162
Phone Number 7344390100
Fax Number 7344397701

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2301008349
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
12317 MI MCARE
95-0-H1-1336-0 MI BCBS
OH 13360 MI BCN

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FAQs about Life Cycle Family Chiropractic, Pc

What is the unique identification code assigned to Life Cycle Family Chiropractic, Pc by the Centers for Medicare & Medicaid Services?

The Life Cycle Family Chiropractic, Pc has been issued the NPI (National Provider Identifier) 1336280817. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Life Cycle Family Chiropractic, Pc?

The Life Cycle Family Chiropractic, Pc is physically situated at 1162 Dexter St, in the city of Milan, state of MI, with the postal code 481601162.

What is Life Cycle Family Chiropractic, Pc'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 Life Cycle Family Chiropractic, Pc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date was the 1336280817 assigned to Life Cycle Family Chiropractic, Pc?

The Life Cycle Family Chiropractic, Pc was issued its 1336280817 on 2007-02-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Life Cycle Family Chiropractic, Pc most recently updated or revised?

The details related to Life Cycle Family Chiropractic, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2012-01-25.

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