EDGERTON CHIROPRACTIC CLINIC INC NPI 1144316266

NPI Information

NPI: 1144316266
Provider Name: EDGERTON CHIROPRACTIC CLINIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
7616 BROCKWAY RD
BROCKWAY, MI
ZIP 48097
Phone: (810) 387-3342
Get Directions

EDGERTON CHIROPRACTIC CLINIC INC is a chiropractor in Brockway, 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. EDGERTON CHIROPRACTIC CLINIC INC NPI is 1144316266. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7616 BROCKWAY RD
BROCKWAY, MI
ZIP 48097-408
Phone: (810) 387-3342
Fax: (810) 387-3543

The provider's authorized official is Brent Lee Edgerton .
The authorized official title is President and has the following contact phone number (810) 387-3342.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 6/16/2014.

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		BE006504	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	0P35900	MEDICARE UPIN	MICHIGAN
2	950G411160	OTHER	MICHIGAN	BCBS

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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