Provider Demographics
NPI:1407028632
Name:ALL POINTES CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:ALL POINTES CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:L
Authorized Official - Last Name:VANDE VEEGAETE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-640-7888
Mailing Address - Street 1:17108 MACK AVE
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-6239
Mailing Address - Country:US
Mailing Address - Phone:313-640-7888
Mailing Address - Fax:313-640-7890
Practice Address - Street 1:17108 MACK AVE
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-6239
Practice Address - Country:US
Practice Address - Phone:313-640-7888
Practice Address - Fax:313-640-7890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-27
Last Update Date:2008-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N59270Medicare PIN