Provider Demographics
NPI:1568533370
Name:IN 8 PC
Entity Type:Organization
Organization Name:IN 8 PC
Other - Org Name:RASSEL-DAIGNEAULT FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JEAN-GUY
Authorized Official - Middle Name:
Authorized Official - Last Name:DAIGNEAULT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-203-2090
Mailing Address - Street 1:248 E SAGINAW ST
Mailing Address - Street 2:SUITE #5
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48823-2760
Mailing Address - Country:US
Mailing Address - Phone:517-203-2090
Mailing Address - Fax:517-203-2092
Practice Address - Street 1:248 E SAGINAW ST
Practice Address - Street 2:SUITE #5
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2760
Practice Address - Country:US
Practice Address - Phone:517-203-2090
Practice Address - Fax:517-203-2092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N19520Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER