Provider Demographics
NPI:1518958875
Name:GALOVICH, DONALD C (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:C
Last Name:GALOVICH
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 1:48681 HAYES RD
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48315-4403
Mailing Address - Country:US
Mailing Address - Phone:586-726-7777
Mailing Address - Fax:586-726-7045
Practice Address - Street 1:48681 HAYES RD
Practice Address - Street 2:
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48315-4403
Practice Address - Country:US
Practice Address - Phone:586-726-7777
Practice Address - Fax:586-726-7045
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008890111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950 E 016950OtherBCBS OF MICHIGAN
0 P 21030Medicare ID - Type Unspecified
V 01743Medicare UPIN