Provider Demographics
NPI:1205182656
Name:NEVEAU CHIROPRACTIC, PLLC
Entity Type:Organization
Organization Name:NEVEAU CHIROPRACTIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TJ
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVEAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-402-1320
Mailing Address - Street 1:722 S CHILSON ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-5021
Mailing Address - Country:US
Mailing Address - Phone:989-390-0444
Mailing Address - Fax:989-509-5979
Practice Address - Street 1:722 S CHILSON ST
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-5021
Practice Address - Country:US
Practice Address - Phone:989-390-0444
Practice Address - Fax:989-509-5979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-02
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009749111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty