CLEMENTS CHIROPRACTIC CLINIC INC. NPI 1457431017

NPI Information

NPI: 1457431017
Provider Name: CLEMENTS CHIROPRACTIC CLINIC, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
51060 HAYES RD
MACOMB, MI
ZIP 48042
Phone: (586) 781-4314
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CLEMENTS CHIROPRACTIC CLINIC, INC. is a chiropractor in Macomb, 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. CLEMENTS CHIROPRACTIC CLINIC, INC. NPI is 1457431017. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

51060 HAYES RD
MACOMB, MI
ZIP 48042-057
Phone: (586) 781-4314
Fax: (586) 781-4452

The provider's authorized official is Derek M Clements .
The authorized official title is President and has the following contact phone number (586) 781-4314.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 12/29/2010.

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
1	111N00000X	Chiropractor		2301007332	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0170734	OTHER	MICHIGAN	TOTAL HEALTH CARE
2	P36220001	MEDICARE PIN	MICHIGAN
3	950E052630	OTHER	MICHIGAN	BLUE CROSS BLUE SHIELD

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

NPI Synchronization or Removal

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