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BIRCH RUN CHIROPRACTIC CLINIC PLC NPI 1609322486


NPI Information

NPI: 1609322486
Provider Name: BIRCH RUN CHIROPRACTIC CLINIC PLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 23D2205970

Address:
7890 MAIN
BIRCH RUN, MI
ZIP 48415
Phone: (989) 624-6266
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BIRCH RUN CHIROPRACTIC CLINIC PLC is a chiropractor in Birch Run, 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. BIRCH RUN CHIROPRACTIC CLINIC PLC NPI is 1609322486. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7890 MAIN
BIRCH RUN, MI
ZIP 48415
Phone: (989) 624-6266
Fax: (989) 624-4407

The provider's authorized official is Kenneth Robert Tiller .
The authorized official title is President and has the following contact phone number (989) 624-6266.

The CLIA number assigned to this NPI record is 23D2205970 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2016 and was last updated on 1/24/2017.


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
1111N00000XChiropractor2301005216MICHIGANYes

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
10G35246MEDICARE PIN
22928135MEDICAIDMICHIGAN

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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