Provider Demographics
NPI:1164996344
Name:PINARD CHIROPRACTIC
Entity Type:Organization
Organization Name:PINARD CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PINARD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-403-9022
Mailing Address - Street 1:1671 W MICHIGAN AVE STE A-2
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MI
Mailing Address - Zip Code:49236-8702
Mailing Address - Country:US
Mailing Address - Phone:517-456-5191
Mailing Address - Fax:517-456-5226
Practice Address - Street 1:1671 W MICHIGAN AVE STE A-2
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MI
Practice Address - Zip Code:49236-8702
Practice Address - Country:US
Practice Address - Phone:517-403-9022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty