Provider Demographics
NPI:1437329398
Name:ADRIAN CHIROPRACTIC CENTER, P.C.
Entity Type:Organization
Organization Name:ADRIAN CHIROPRACTIC CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MCLOUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-263-6812
Mailing Address - Street 1:1921 E US HIGHWAY 223
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-1242
Mailing Address - Country:US
Mailing Address - Phone:517-263-2900
Mailing Address - Fax:517-263-9250
Practice Address - Street 1:1921 US HIGHWAY 223
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-1242
Practice Address - Country:US
Practice Address - Phone:517-263-2900
Practice Address - Fax:517-263-9250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2020-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002877111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI11780661520OtherNPI TYPE 1 1780661520
11283335OtherCAQH
MIP105344OtherBCN
MI$$$$$$$$$OtherSSN
MI649531OtherACN
MIT82891OtherUPIN
MI=========OtherTIN