Mainstreet Chiropractic Llc in Mount Clemens - Chiropractor
Mainstreet Chiropractic Llc - NPI 1811025794
Mainstreet Chiropractic Llc is a Chiropractor in Mount Clemens, Michigan. Mainstreet Chiropractic Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mainstreet Chiropractic Llc is 1811025794. The last update date is 2012-09-25.
Mainstreet Chiropractic Llc's current location address is 96 Nb Gratiot Ave, Mount Clemens, Michigan. You can contact this provider via phone number 5864656111 and fax number 5864656100. The mailing address for Mainstreet Chiropractic Llc is 96 Nb Gratiot Ave, Mount Clemens, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mainstreet Chiropractic Llc |
|---|---|
| Address | 96 Nb Gratiot Ave, Mount Clemens, Michigan |
| Phone Number | 5864656111 |
| Fax Number | 5864656100 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Corrado L Stacy |
| Credentials | DC |
| Telephone Number | 5864656111 |
NPI Number Detail
| NPI Number | 1811025794 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2012-09-25 |
Provider Mailing Address Detail
| Address | 96 Nb Gratiot Ave |
|---|---|
| City | Mount Clemens |
| State | Michigan (MI) |
| Post Code | 480432349 |
| Phone Number | 5864656111 |
| Fax Number | 5864656100 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301007428 |
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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 |
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What is the Mainstreet Chiropractic Llc's unique identification number?
The Mainstreet Chiropractic Llc has been assigned the NPI (National Provider Identifier) Number 1811025794 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Mainstreet Chiropractic Llc?
The Mainstreet Chiropractic Llc is situated at 96 Nb Gratiot Ave, in the city of Mount Clemens, state of MI, with the zip code 480432349.
What is Mainstreet Chiropractic Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mainstreet Chiropractic Llc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1811025794 to Mainstreet Chiropractic Llc?
The Centers for Medicare & Medicaid Services originally issued the 1811025794 to Mainstreet Chiropractic Llc on 2007-03-01.
As of what date was the information regarding Mainstreet Chiropractic Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mainstreet Chiropractic Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-09-25.