PLYMOUTH CHIROPRACTIC WELLNESS CLINIC LLC NPI 1518072776

NPI Information

NPI: 1518072776
Provider Name: PLYMOUTH CHIROPRACTIC WELLNESS CLINIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
908 PENNIMAN AVE
PLYMOUTH, MI
ZIP 48170
Phone: (734) 453-7090
Get Directions

PLYMOUTH CHIROPRACTIC WELLNESS CLINIC LLC is a chiropractor in Plymouth, 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. PLYMOUTH CHIROPRACTIC WELLNESS CLINIC LLC NPI is 1518072776. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

908 PENNIMAN AVE
PLYMOUTH, MI
ZIP 48170-624
Phone: (734) 453-7090
Fax: (734) 453-9992

The provider's authorized official is Elizabeth Anne Sisk .
The authorized official title is Owner and has the following contact phone number (734) 459-7090.

The enumeration date for this NPI number is 8/20/2006 and was last updated on 1/27/2009.

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		2301006903	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	950H228250	OTHER	MICHIGAN	BCBS OF MICHIGAN
2	1316980337	OTHER	MICHIGAN	DR OMEL NPI
3	1316980287	OTHER	MICHIGAN	DR E NPI
4	N28140011	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN	DR OMEL
5	950H228640	OTHER	MICHIGAN	BLUE CARE NETWORK (DR.E BCBS ID NUMBER)
6	0N53210	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
7	=========	OTHER	MICHIGAN	COMMERCIAL
8	U93609	MEDICARE UPIN	MICHIGAN

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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