1st Chiropractic Life Center
Chiropractor in Warren, MI. Organization (NPI-2).
NPI number1952023822
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1952023822
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Chiropractic Life Center
- Organization subpart
- No
- Enumeration date
- Sep 16, 2022
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
12445 E 12 Mile RdWarren, MI 48093-3572
Phone 586-817-3802
Mailing address
12445 E 12 Mile RdWarren, MI 48093-3572
Phone 586-817-3802
Authorized official
Mary Frye
President
5868173802
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