Provider Demographics
NPI:1124398821
Name:CURRERI CHIROPRACTIC HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:CURRERI CHIROPRACTIC HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:CURRERI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-751-3800
Mailing Address - Street 1:29230 RYAN RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48092-4274
Mailing Address - Country:US
Mailing Address - Phone:586-751-3800
Mailing Address - Fax:586-751-3810
Practice Address - Street 1:29230 RYAN RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48092-4274
Practice Address - Country:US
Practice Address - Phone:586-751-3800
Practice Address - Fax:586-751-3810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIEC005018111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0E05056Medicare PIN