Provider Demographics
NPI:1376791350
Name:DAY, MICHAEL JONATHAN (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JONATHAN
Last Name:DAY
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 1:1901 LAURENS RD
Mailing Address - Street 2:STE E
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-2964
Mailing Address - Country:US
Mailing Address - Phone:864-448-2073
Mailing Address - Fax:562-453-0099
Practice Address - Street 1:1901 LAURENS RD
Practice Address - Street 2:STE E
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-2964
Practice Address - Country:US
Practice Address - Phone:864-448-2073
Practice Address - Fax:562-453-0099
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-30988111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor