Provider Demographics
NPI:1336114958
Name:ORMSBEE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:ORMSBEE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:ORMSBEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-254-1020
Mailing Address - Street 1:46056 CASS AVE
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:MI
Mailing Address - Zip Code:48317-5243
Mailing Address - Country:US
Mailing Address - Phone:586-254-1020
Mailing Address - Fax:586-254-5272
Practice Address - Street 1:46056 CASS AVE
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:MI
Practice Address - Zip Code:48317-5243
Practice Address - Country:US
Practice Address - Phone:586-254-1020
Practice Address - Fax:586-254-5272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-17
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007107111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P11350001Medicare PIN
MIU82409Medicare UPIN
MI0P11350Medicare ID - Type Unspecified