Provider Demographics
NPI:1679753941
Name:MICHAEL J BROWN,D.C.,P.C.
Entity Type:Organization
Organization Name:MICHAEL J BROWN,D.C.,P.C.
Other - Org Name:BROWN CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-979-4950
Mailing Address - Street 1:36150 DEQUINDRE RD
Mailing Address - Street 2:SUITE 730
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48310-7149
Mailing Address - Country:US
Mailing Address - Phone:586-979-4950
Mailing Address - Fax:586-979-5096
Practice Address - Street 1:36150 DEQUINDRE RD
Practice Address - Street 2:SUITE 730
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-7149
Practice Address - Country:US
Practice Address - Phone:586-979-4950
Practice Address - Fax:586-979-5096
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-05
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIMB007382111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950E017010OtherBLUE CROSS
MI3384548Medicaid
MI3441475Medicaid
MI950E017010OtherBLUE CROSS
MI0N94180Medicare PIN
MI3384548Medicaid