Provider Demographics
NPI:1669843520
Name:HILLSDALE FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:HILLSDALE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:SASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIFFIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-439-9800
Mailing Address - Street 1:79 HILLSDALE ST
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:MI
Mailing Address - Zip Code:49242-1208
Mailing Address - Country:US
Mailing Address - Phone:517-439-9800
Mailing Address - Fax:517-439-1230
Practice Address - Street 1:79 HILLSDALE ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1208
Practice Address - Country:US
Practice Address - Phone:517-439-9800
Practice Address - Fax:517-439-1230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-16
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty