Provider Demographics
NPI:1629388137
Name:GHABRI, ADLENE HOUCINE (DC)
Entity Type:Individual
Prefix:DR
First Name:ADLENE
Middle Name:HOUCINE
Last Name:GHABRI
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 1:6425 S PENNSYLVANIA AVE
Mailing Address - Street 2:SUITE 17 &18
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5975
Mailing Address - Country:US
Mailing Address - Phone:517-393-8800
Mailing Address - Fax:517-393-9000
Practice Address - Street 1:6425 S PENNSYLVANIA AVE
Practice Address - Street 2:SUITE 17 & 18
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911-5975
Practice Address - Country:US
Practice Address - Phone:517-393-8800
Practice Address - Fax:517-393-9000
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009698111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor