Provider Demographics
NPI:1508118704
Name:JV CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:JV CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:VIGNEAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-286-1112
Mailing Address - Street 1:39949 GARFIELD RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-4301
Mailing Address - Country:US
Mailing Address - Phone:586-286-1112
Mailing Address - Fax:586-412-3673
Practice Address - Street 1:39949 GARFIELD RD
Practice Address - Street 2:SUITE B
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48038-4301
Practice Address - Country:US
Practice Address - Phone:586-286-1112
Practice Address - Fax:586-412-3673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-11
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009986261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center