Provider Demographics
NPI:1083006902
Name:MOTOR CITY SPORTS CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:MOTOR CITY SPORTS CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMDAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARHARA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-350-2739
Mailing Address - Street 1:27209 LAHSER RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48034-8401
Mailing Address - Country:US
Mailing Address - Phone:313-350-2739
Mailing Address - Fax:
Practice Address - Street 1:27209 LAHSER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-8401
Practice Address - Country:US
Practice Address - Phone:313-350-2739
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty