Provider Demographics
NPI:1326097098
Name:KARRUMI, NATHAM WILLIAM (DC)
Entity Type:Individual
Prefix:
First Name:NATHAM
Middle Name:WILLIAM
Last Name:KARRUMI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 E GRAND RIVER AVE
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-1551
Mailing Address - Country:US
Mailing Address - Phone:810-494-9300
Mailing Address - Fax:810-494-9320
Practice Address - Street 1:455 E GRAND RIVER AVE
Practice Address - Street 2:SUITE 204A
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-1551
Practice Address - Country:US
Practice Address - Phone:810-494-9300
Practice Address - Fax:810-494-9320
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MINK008918111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0D710760OtherBCBS
MI4758335Medicaid
MI139724OtherCARE CHOICE
MI7395698OtherAETNA
MI4758335Medicaid
MI139724OtherCARE CHOICE