1467624726 NPI number — HEALTHY LIVING CHIROPRACTIC CENTER, P.C.

Table of content: (NPI 1467624726)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467624726 NPI number — HEALTHY LIVING CHIROPRACTIC CENTER, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTHY LIVING CHIROPRACTIC CENTER, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467624726
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10739 HIGHLAND RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITE LAKE
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48386-2148
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-698-9141
Provider Business Mailing Address Fax Number:
248-779-7737

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10739 HIGHLAND RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITE LAKE
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48386-2148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-698-9141
Provider Business Practice Location Address Fax Number:
248-779-7737
Provider Enumeration Date:
03/27/2008

Additional Information

Authorized Official

Authorized Official Last Name:
LARISON
Authorized Official First Name:
AMIE
Authorized Official Middle Name:
SUZANNE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
248-698-9141

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  2301008399 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 950F355460 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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