Provider Demographics
NPI:1619310489
Name:HARMONY CHIROPRACTIC CENTER PLLC
Entity Type:Organization
Organization Name:HARMONY CHIROPRACTIC CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MOSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELKHALFIA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-312-7786
Mailing Address - Street 1:7520 GREENFIELD RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-1363
Mailing Address - Country:US
Mailing Address - Phone:313-312-7786
Mailing Address - Fax:
Practice Address - Street 1:18296 W 10 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2648
Practice Address - Country:US
Practice Address - Phone:313-312-7786
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMB008880111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty