Provider Demographics
NPI:1295038131
Name:CATHERINE A TIERNEY DC PC
Entity Type:Organization
Organization Name:CATHERINE A TIERNEY DC PC
Other - Org Name:CHESANING CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:TIERNEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-845-3223
Mailing Address - Street 1:1223 BRADY ST
Mailing Address - Street 2:
Mailing Address - City:CHESANING
Mailing Address - State:MI
Mailing Address - Zip Code:48616-1020
Mailing Address - Country:US
Mailing Address - Phone:989-845-3223
Mailing Address - Fax:989-845-5672
Practice Address - Street 1:1223 BRADY ST
Practice Address - Street 2:
Practice Address - City:CHESANING
Practice Address - State:MI
Practice Address - Zip Code:48616-1020
Practice Address - Country:US
Practice Address - Phone:989-845-3223
Practice Address - Fax:989-845-5672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-15
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty