Provider Demographics
NPI:1497925689
Name:ADJUST TO HEALTH CHIROPRACTIC CARE
Entity Type:Organization
Organization Name:ADJUST TO HEALTH CHIROPRACTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-547-6325
Mailing Address - Street 1:14375 E CHICAGO RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:MI
Mailing Address - Zip Code:49281
Mailing Address - Country:US
Mailing Address - Phone:517-547-6325
Mailing Address - Fax:
Practice Address - Street 1:14375 E CHICAGO RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:MI
Practice Address - Zip Code:49281
Practice Address - Country:US
Practice Address - Phone:517-547-6325
Practice Address - Fax:517-547-4509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN94370001OtherMEDICARE MEMBER
0N94370OtherGROUP MEMBER #
0N94370OtherGROUP MEMBER #