Provider Demographics
NPI:1083496228
Name:HERRON FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HERRON FAMILY CHIROPRACTIC LLC
Other - Org Name:MCCARTY CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HERRON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-661-8500
Mailing Address - Street 1:31170 HAGGERTY RD
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-5804
Mailing Address - Country:US
Mailing Address - Phone:248-661-8500
Mailing Address - Fax:248-661-4054
Practice Address - Street 1:31170 HAGGERTY RD
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-5804
Practice Address - Country:US
Practice Address - Phone:248-661-8500
Practice Address - Fax:248-661-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty