Provider Demographics
NPI:1568491249
Name:ALTERNATIVE HEALING ARTS CENTER, PC
Entity Type:Organization
Organization Name:ALTERNATIVE HEALING ARTS CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BARSOUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-546-4680
Mailing Address - Street 1:PO BOX 1534
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48357
Mailing Address - Country:US
Mailing Address - Phone:517-546-4680
Mailing Address - Fax:517-546-4699
Practice Address - Street 1:1181 NORTH MILFORD RD.
Practice Address - Street 2:SUITE 205
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381
Practice Address - Country:US
Practice Address - Phone:517-546-4680
Practice Address - Fax:517-546-4699
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2018-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950D710890OtherBCBS OF MI
MI950D710890OtherBCBS OF MI