Provider Demographics
NPI:1508215864
Name:EMPOWERING HEALTH CHIROPRACTIC AND WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:EMPOWERING HEALTH CHIROPRACTIC AND WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHOENHERR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-651-8498
Mailing Address - Street 1:16724 26 MILE RD
Mailing Address - Street 2:
Mailing Address - City:MACOMB
Mailing Address - State:MI
Mailing Address - Zip Code:48042-1024
Mailing Address - Country:US
Mailing Address - Phone:586-651-8498
Mailing Address - Fax:
Practice Address - Street 1:16724 26 MILE RD
Practice Address - Street 2:
Practice Address - City:MACOMB
Practice Address - State:MI
Practice Address - Zip Code:48042-1024
Practice Address - Country:US
Practice Address - Phone:586-651-8498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009996111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty