Provider Demographics
NPI:1134145691
Name:MARSHALL FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:MARSHALL FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARSHALL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-329-6100
Mailing Address - Street 1:1605 FRED W MOORE HWY
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MI
Mailing Address - Zip Code:48079-5296
Mailing Address - Country:US
Mailing Address - Phone:810-329-6100
Mailing Address - Fax:810-329-8650
Practice Address - Street 1:1605 FRED W MOORE HWY
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR
Practice Address - State:MI
Practice Address - Zip Code:48079-5296
Practice Address - Country:US
Practice Address - Phone:810-329-6100
Practice Address - Fax:810-329-8650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty