Individual provider · NPI-1

Dr. Carol Ann Born, DC

Chiropractor · Southfield, MI

NPI number1699776450
StatusActive
Last updated in NPPESOct 27, 2011

Details

NPI
1699776450
Entity type
Individual (NPI-1)
Name
Dr. Carol Ann Born
Credential
DC
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 2, 2005
Last updated
Oct 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor2301005884MIYes

Practice location

15831 W 12 Mile Rd
Southfield, MI 48076-3011

Phone 248-559-6763

Mailing address

15831 W 12 Mile Rd
Southfield, MI 48076-3011

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