Provider Demographics
NPI:1508923624
Name:DAMI, ORLAND WILLIAM (DC)
Entity Type:Individual
Prefix:DR
First Name:ORLAND
Middle Name:WILLIAM
Last Name:DAMI
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 1:81 S. I-75 BUSINESS LOOP
Mailing Address - Street 2:P.O. BOX 674
Mailing Address - City:GRAYLING
Mailing Address - State:MI
Mailing Address - Zip Code:49738-0674
Mailing Address - Country:US
Mailing Address - Phone:989-348-3128
Mailing Address - Fax:989-348-2524
Practice Address - Street 1:81 S. I-75 BUSINESS LOOP
Practice Address - Street 2:
Practice Address - City:GRAYLING
Practice Address - State:MI
Practice Address - Zip Code:49738-0674
Practice Address - Country:US
Practice Address - Phone:989-348-3128
Practice Address - Fax:989-348-2524
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005019111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1654279Medicaid
MIT97302Medicare UPIN
MI1654279Medicaid