Provider Demographics
NPI:1437637287
Name:CARTWRIGHT LOW BACK PAIN CLINIC
Entity Type:Organization
Organization Name:CARTWRIGHT LOW BACK PAIN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARTWRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, PT
Authorized Official - Phone:734-743-2225
Mailing Address - Street 1:14989 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-3769
Mailing Address - Country:US
Mailing Address - Phone:734-743-2225
Mailing Address - Fax:734-244-5065
Practice Address - Street 1:14989 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-3769
Practice Address - Country:US
Practice Address - Phone:734-743-2225
Practice Address - Fax:734-244-5065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-03
Last Update Date:2018-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2685111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty