Provider Demographics
NPI:1033681424
Name:ORIGINS HEALTH
Entity Type:Organization
Organization Name:ORIGINS HEALTH
Other - Org Name:ARC CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:DEAN
Authorized Official - Last Name:CHILDS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-461-3088
Mailing Address - Street 1:3142 MARSH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:MI
Mailing Address - Zip Code:49230-9241
Mailing Address - Country:US
Mailing Address - Phone:131-346-1308
Mailing Address - Fax:
Practice Address - Street 1:157 KEVELING DR
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1197
Practice Address - Country:US
Practice Address - Phone:734-429-2410
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty