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WYOMING CHIROPRACTIC HEALTH CLINICP.C. NPI 1306901137


NPI Information

NPI: 1306901137
Provider Name: WYOMING CHIROPRACTIC HEALTH CLINIC,P.C.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7601 WYOMING ST
DEARBORN, MI
ZIP 48126
Phone: (313) 933-1256
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WYOMING CHIROPRACTIC HEALTH CLINIC,P.C. is a chiropractor in Dearborn, 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. WYOMING CHIROPRACTIC HEALTH CLINIC,P.C. NPI is 1306901137. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7601 WYOMING ST
DEARBORN, MI
ZIP 48126-638
Phone: (313) 933-1256
Fax: (313) 933-2252

The provider's authorized official is Hassan Mohamad Reichouni .
The authorized official title is President and has the following contact phone number (313) 933-1256.

The enumeration date for this NPI number is 12/22/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractor2301008359MICHIGANYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14290043MEDICAIDMICHIGAN
217354OTHERMICHIGANGREAT LAKES HEALTH PLAN
35215OTHERMICHIGANCAPE HEALTH PLAN
4P98795OTHERMICHIGANBCN

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: 4/28/2024

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