Crossroads Chiropractic, PLLC
Chiropractor in Cement City, MI. Organization (NPI-2).
NPI number1619733763
StatusActive
Last updated in NPPESApr 16, 2024
Details
- NPI
- 1619733763
- Entity type
- Organization (NPI-2)
- Legal business name
- Crossroads Chiropractic, PLLC
- Organization subpart
- No
- Enumeration date
- Feb 26, 2024
- Certification date
- Apr 12, 2024
- Last updated
- Apr 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- Crossroads Chiropractic (Doing Business As)
Practice location
18875 E Chicago RdCement City, MI 49233-9005
Phone 517-442-4805
Mailing address
18875 E Chicago RdCement City, MI 49233-9005
Phone 517-740-5485
Authorized official
Jordan Lincoln Bach
Owner
5177405485
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