Provider Demographics
NPI:1457484370
Name:DR ERIC DUNCAN DC, PC
Entity Type:Organization
Organization Name:DR ERIC DUNCAN DC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-977-0664
Mailing Address - Street 1:35046 WOODWARD AVE STE L14
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-0964
Mailing Address - Country:US
Mailing Address - Phone:248-977-0664
Mailing Address - Fax:248-681-4088
Practice Address - Street 1:35046 WOODWARD AVE STE L14
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-0964
Practice Address - Country:US
Practice Address - Phone:248-977-0664
Practice Address - Fax:248-681-4088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIED008882111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI6528720001Medicare NSC
MI0N99220Medicare ID - Type Unspecified