Provider Demographics
NPI:1346512118
Name:ALFIERI FAMILY CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ALFIERI FAMILY CHIROPRACTIC PLLC
Other - Org Name:FRANK ALFIERI III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:ALFIERI
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:269-857-1000
Mailing Address - Street 1:PO BOX 1016
Mailing Address - Street 2:
Mailing Address - City:SAUGATUCK
Mailing Address - State:MI
Mailing Address - Zip Code:49453-1016
Mailing Address - Country:US
Mailing Address - Phone:269-857-1000
Mailing Address - Fax:269-857-1000
Practice Address - Street 1:3484 BLUE STAR HWY
Practice Address - Street 2:
Practice Address - City:SAUGATUCK
Practice Address - State:MI
Practice Address - Zip Code:49453-9400
Practice Address - Country:US
Practice Address - Phone:269-857-1000
Practice Address - Fax:269-857-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004370111N00000X
MI2301008851111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0Z30050OtherBLUE CROSS BLUE SHIELD
0Z35012Medicare PIN
T33877Medicare UPIN