Provider Demographics
NPI:1457304511
Name:SAVOIE, JACQUES A (DC)
Entity Type:Individual
Prefix:DR
First Name:JACQUES
Middle Name:A
Last Name:SAVOIE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27108 OAKMEAD DR
Mailing Address - Street 2:
Mailing Address - City:PERRYSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43551-2670
Mailing Address - Country:US
Mailing Address - Phone:419-872-2100
Mailing Address - Fax:419-872-2282
Practice Address - Street 1:27108 OAKMEAD DR
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:OH
Practice Address - Zip Code:43551-2670
Practice Address - Country:US
Practice Address - Phone:419-872-2100
Practice Address - Fax:419-872-2282
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-18
Last Update Date:2012-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008306111N00000X
OH3171111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI95-0-E8-0007-0OtherBCBS OF MICHIGAN
MI95-0-E8-0007-0OtherBCBS OF MICHIGAN
MIU96304Medicare UPIN