Spartan Family Chiropractic, Inc in Okemos - Sports Physician

Spartan Family Chiropractic, Inc - NPI 1194788521

Spartan Family Chiropractic, Inc is a Sports Physician in Okemos, Michigan. Spartan Family Chiropractic, Inc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Spartan Family Chiropractic, Inc is 1194788521. The last update date is 2018-05-09.

Spartan Family Chiropractic, Inc's current location address is 1719 W Grand River Ave, Okemos, Michigan. You can contact this provider via phone number 5173819730 and fax number 5173819735. The mailing address for Spartan Family Chiropractic, Inc is 1719 W Grand River Ave, Okemos, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Spartan Family Chiropractic, Inc
Address 1719 W Grand River Ave, Okemos, Michigan
Phone Number 5173819730
Fax Number 5173819735
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PHYS
Authorized Official Name Parker T Kevin
Credentials DC
Telephone Number 5173819730

NPI Number Detail

NPI Number 1194788521
Provider Enumeration Date 2006-04-07
Last Updated Date 2018-05-09

Provider Mailing Address Detail

Address 1719 W Grand River Ave
City Okemos
State Michigan (MI)
Post Code 488641803
Phone Number 5173819730
Fax Number 5173819735

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 2301008073
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4400103 PHP PROVIDER ID#
0C35089 MI BCBS PROVIDER #
7703223 MI AETNA PROVIDER #

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FAQs about Spartan Family Chiropractic, Inc

What is the unique identification code assigned to Spartan Family Chiropractic, Inc by the Centers for Medicare & Medicaid Services?

The Spartan Family Chiropractic, Inc has been issued the NPI (National Provider Identifier) 1194788521. 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 Spartan Family Chiropractic, Inc's physical address?

The Spartan Family Chiropractic, Inc is physically located at 1719 W Grand River Ave, in the city of Okemos, MI, with the postal code 488641803.

What is the area of specialization for Spartan Family Chiropractic, Inc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Spartan Family Chiropractic, Inc is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.

On what date did the Spartan Family Chiropractic, Inc receive the assignment of its 1194788521 from the Centers for Medicare & Medicaid Services?

The Spartan Family Chiropractic, Inc was issued its 1194788521 by the Centers for Medicare & Medicaid Services on 2006-04-07.

As of what date were the details pertaining to Spartan Family Chiropractic, Inc last refreshed?

The information related to the Spartan Family Chiropractic, Inc, including its address, specialty, and other relevant details, was last updated on 2018-05-09.

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