Provider Demographics
NPI:1245417252
Name:CORPORATE HEALTH SOLUTIONS
Entity Type:Organization
Organization Name:CORPORATE HEALTH SOLUTIONS
Other - Org Name:FAMILY CHIROPRACTIC OF SANDUSKY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HELTSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-648-8000
Mailing Address - Street 1:454 W SANILAC RD
Mailing Address - Street 2:PO BOX 289
Mailing Address - City:SANDUSKY
Mailing Address - State:MI
Mailing Address - Zip Code:48471-1065
Mailing Address - Country:US
Mailing Address - Phone:810-648-8000
Mailing Address - Fax:810-648-9887
Practice Address - Street 1:454 W SANILAC RD
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-1065
Practice Address - Country:US
Practice Address - Phone:810-648-8000
Practice Address - Fax:810-648-9887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4704310Medicaid
MI4704310Medicaid
V00210Medicare UPIN