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ROBERT EDWARD POTTER JR DC PLLC NPI 1114919016


NPI Information

NPI: 1114919016
Provider Name: ROBERT EDWARD POTTER JR DC PLLC

Doing Business As: CANTON CENTER CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
6231 N CANTON CENTER RD
SUITE 109
CANTON, MI
ZIP 48187
Phone: (734) 455-6767
Get Directions

ROBERT EDWARD POTTER JR DC PLLC is a chiropractor in Canton, MI. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ROBERT EDWARD POTTER JR DC PLLC NPI is 1114919016. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Canton Center Chiropractic Clinic.

The provider's business location address is:

6231 N CANTON CENTER RD
SUITE 109
CANTON, MI
ZIP 48187-694
Phone: (734) 455-6767
Fax: (734) 455-2359

The provider's authorized official is Robert Edward Potter .
The authorized official title is Owner and has the following contact phone number (734) 455-6767.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2301005410MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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