Provider Demographics
NPI:1225330038
Name:ATLAS ALTERNATIVE HEALTH CENTER PC
Entity Type:Organization
Organization Name:ATLAS ALTERNATIVE HEALTH CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:BROOKE
Authorized Official - Last Name:CAMPAIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:574-850-2403
Mailing Address - Street 1:706 W SHARON AVE
Mailing Address - Street 2:2
Mailing Address - City:HOUGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:49931-1970
Mailing Address - Country:US
Mailing Address - Phone:906-483-3388
Mailing Address - Fax:906-483-3788
Practice Address - Street 1:706 W SHARON AVE
Practice Address - Street 2:2
Practice Address - City:HOUGHTON
Practice Address - State:MI
Practice Address - Zip Code:49931-1970
Practice Address - Country:US
Practice Address - Phone:906-483-3388
Practice Address - Fax:906-483-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-30
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009716111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty