Provider Demographics
NPI:1437452802
Name:FINN CHIROPRACTIC CENTER PC
Entity Type:Organization
Organization Name:FINN CHIROPRACTIC CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JASON
Authorized Official - Last Name:FINN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-624-1144
Mailing Address - Street 1:2344 S COMMERCE RD
Mailing Address - Street 2:
Mailing Address - City:WALLED LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48390-2126
Mailing Address - Country:US
Mailing Address - Phone:248-624-1144
Mailing Address - Fax:248-624-6694
Practice Address - Street 1:2344 S COMMERCE RD
Practice Address - Street 2:
Practice Address - City:WALLED LAKE
Practice Address - State:MI
Practice Address - Zip Code:48390-2126
Practice Address - Country:US
Practice Address - Phone:248-624-1144
Practice Address - Fax:248-624-6694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOF39352OtherBCBS ID#