Provider Demographics
NPI:1265659973
Name:SOFT TOUCH CHIROPRACTIC CENTER OF OAKLAND PC
Entity Type:Organization
Organization Name:SOFT TOUCH CHIROPRACTIC CENTER OF OAKLAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-348-2000
Mailing Address - Street 1:23895 NOVI RD
Mailing Address - Street 2:STE. 400
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-0201
Mailing Address - Country:US
Mailing Address - Phone:248-348-2000
Mailing Address - Fax:248-348-2907
Practice Address - Street 1:23895 NOVI RD
Practice Address - Street 2:STE. 400
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-0201
Practice Address - Country:US
Practice Address - Phone:248-348-2000
Practice Address - Fax:248-348-2907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005456111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35044OtherMEDICARE PTAN
MI950F35044OtherBCBSM
MIU21819Medicare UPIN
MIOF350441951Medicare ID - Type Unspecified