Provider Demographics
NPI:1073798641
Name:ALBRECHT CHIROPRACTIC OFFICE PC
Entity Type:Organization
Organization Name:ALBRECHT CHIROPRACTIC OFFICE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARL
Authorized Official - Middle Name:DEVON
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:269-694-9956
Mailing Address - Street 1:304 DIX ST
Mailing Address - Street 2:
Mailing Address - City:OTSEGO
Mailing Address - State:MI
Mailing Address - Zip Code:49078-1515
Mailing Address - Country:US
Mailing Address - Phone:269-694-9956
Mailing Address - Fax:269-694-9400
Practice Address - Street 1:304 DIX ST
Practice Address - Street 2:
Practice Address - City:OTSEGO
Practice Address - State:MI
Practice Address - Zip Code:49078-1515
Practice Address - Country:US
Practice Address - Phone:269-694-9956
Practice Address - Fax:269-694-9400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-02
Last Update Date:2008-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty