Provider Demographics
NPI:1417038639
Name:CONTACT FOR HEALTH CHIROPRACTIC CENTER, INC.
Entity Type:Organization
Organization Name:CONTACT FOR HEALTH CHIROPRACTIC CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:SPENCER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-448-3791
Mailing Address - Street 1:PO BOX 347
Mailing Address - Street 2:ATTN: MICHELLE
Mailing Address - City:READING
Mailing Address - State:MI
Mailing Address - Zip Code:49274
Mailing Address - Country:US
Mailing Address - Phone:517-283-1944
Mailing Address - Fax:517-283-3776
Practice Address - Street 1:124 S CHURCH ST
Practice Address - Street 2:ATTN: MICHELLE
Practice Address - City:HUDSON
Practice Address - State:MI
Practice Address - Zip Code:49247
Practice Address - Country:US
Practice Address - Phone:517-283-1944
Practice Address - Fax:517-283-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007182111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0D56357Medicare ID - Type Unspecified