LIFE CYCLE FAMILY CHIROPRACTIC PC NPI 1336280817

NPI Information

NPI: 1336280817
Provider Name: LIFE CYCLE FAMILY CHIROPRACTIC, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1162 DEXTER ST
MILAN, MI
ZIP 48160
Phone: (734) 439-0100
Get Directions

LIFE CYCLE FAMILY CHIROPRACTIC, PC is a chiropractor in Milan, 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. LIFE CYCLE FAMILY CHIROPRACTIC, PC NPI is 1336280817. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1162 DEXTER ST
MILAN, MI
ZIP 48160-162
Phone: (734) 439-0100
Fax: (734) 439-7701

The provider's authorized official is James Matthew Wagner .
The authorized official title is Owner and has the following contact phone number (734) 439-0100.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 1/25/2012.

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		2301008349	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	OH 13360	OTHER	MICHIGAN	BCN
2	ON 41040 003	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
3	95-0-H1-1336-0	OTHER	MICHIGAN	BCBS
4	12317	OTHER	MICHIGAN	MCARE
5	U97397	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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