Provider Demographics
NPI:1316219967
Name:ALLIANCE CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ALLIANCE CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:F
Authorized Official - Last Name:CARLINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-855-0360
Mailing Address - Street 1:29930 W 12 MILE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3983
Mailing Address - Country:US
Mailing Address - Phone:248-855-0360
Mailing Address - Fax:
Practice Address - Street 1:29930 W 12 MILE RD STE 3
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3983
Practice Address - Country:US
Practice Address - Phone:248-855-0360
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-28
Last Update Date:2012-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIPC004623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty