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EAST STADIUM CHIROPRACTIC WELLNESS CENTER LLC NPI 1649330416


NPI Information

NPI: 1649330416
Provider Name: EAST STADIUM CHIROPRACTIC WELLNESS CENTER LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2216 MEDFORD RD
ANN ARBOR, MI
ZIP 48104
Phone: (734) 971-1777
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EAST STADIUM CHIROPRACTIC WELLNESS CENTER LLC is a chiropractor in Ann Arbor, 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. EAST STADIUM CHIROPRACTIC WELLNESS CENTER LLC NPI is 1649330416. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2216 MEDFORD RD
ANN ARBOR, MI
ZIP 48104-059
Phone: (734) 971-1777

The provider's authorized official is Brian L Kroes .
The authorized official title is Chiropractor and has the following contact phone number (734) 971-1777.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 10/21/2011.


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
1111N00000XChiropractorAB009521MICHIGANNo
2111N00000XChiropractorBK004737MICHIGANYes

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
1950H151170MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2H15072005MEDICARE PINMICHIGAN
3950H150720MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN

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: 11/14/2023

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