Provider Demographics
NPI:1417128877
Name:BORER FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BORER FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:BORER
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:734-944-7200
Mailing Address - Street 1:210 W MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SALINE
Mailing Address - State:MI
Mailing Address - Zip Code:48176-1327
Mailing Address - Country:US
Mailing Address - Phone:734-944-7200
Mailing Address - Fax:734-944-8070
Practice Address - Street 1:210 W MICHIGAN AVE
Practice Address - Street 2:
Practice Address - City:SALINE
Practice Address - State:MI
Practice Address - Zip Code:48176-1327
Practice Address - Country:US
Practice Address - Phone:734-944-7200
Practice Address - Fax:734-944-8070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-13
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty