Provider Demographics
NPI:1063688018
Name:CHIROPRACTIC CARE & HEALTH SERVICES PC
Entity Type:Organization
Organization Name:CHIROPRACTIC CARE & HEALTH SERVICES PC
Other - Org Name:SAAB CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SAAB
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-626-3500
Mailing Address - Street 1:6040 W MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-2212
Mailing Address - Country:US
Mailing Address - Phone:248-626-3500
Mailing Address - Fax:
Practice Address - Street 1:6040 W MAPLE RD
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2212
Practice Address - Country:US
Practice Address - Phone:248-626-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006511111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2301006511OtherSTATE LICENSE ID #
MI95-0-F3-0182-0OtherBCBS PIN #
MI0F35113Medicare PIN
MIU23003Medicare UPIN