Provider Demographics
NPI:1396041570
Name:PRIME CARE CHIROPRACTIC PC
Entity Type:Organization
Organization Name:PRIME CARE CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-914-7214
Mailing Address - Street 1:15841 W WARREN AVE
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-3737
Mailing Address - Country:US
Mailing Address - Phone:313-914-7214
Mailing Address - Fax:313-228-5274
Practice Address - Street 1:15841 W WARREN AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-3737
Practice Address - Country:US
Practice Address - Phone:313-914-7214
Practice Address - Fax:313-228-5274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty