1851106066 NPI number — CENTRIC CHIROPRACTIC LLC

Table of content: MR. MICHAEL H. TEAGUE MSW, LADAC, LMSW, (NPI 1700097672)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851106066 NPI number — CENTRIC CHIROPRACTIC LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRIC CHIROPRACTIC LLC
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:
1851106066
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
236 S FAIRGROUND ST SE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MARIETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30060-2354
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-903-5960
Provider Business Mailing Address Fax Number:
678-903-5960

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
236 S FAIRGROUND ST SE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MARIETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30060-2354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-903-5960
Provider Business Practice Location Address Fax Number:
678-903-5960
Provider Enumeration Date:
02/13/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LAMARCHE
Authorized Official First Name:
MELISSA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
678-903-5960

Provider Taxonomy Codes

  • Taxonomy code: 111NS0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 111NR0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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