Provider Demographics
NPI:1225412422
Name:BOOKFAMILYCHIROPRACTIC
Entity Type:Organization
Organization Name:BOOKFAMILYCHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOOK
Authorized Official - Suffix:
Authorized Official - Credentials:BS,DC
Authorized Official - Phone:248-921-1759
Mailing Address - Street 1:2301 S MILFORD RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357-4985
Mailing Address - Country:US
Mailing Address - Phone:248-529-3085
Mailing Address - Fax:
Practice Address - Street 1:2301 S MILFORD RD
Practice Address - Street 2:SUITE A
Practice Address - City:HIGHLAND
Practice Address - State:MI
Practice Address - Zip Code:48357-4985
Practice Address - Country:US
Practice Address - Phone:248-529-3085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008149111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1285669028Medicaid