Provider Demographics
NPI:1689097396
Name:MILLAGE FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:MILLAGE FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARMBRUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-693-5829
Mailing Address - Street 1:1261 S LAPEER RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1419
Mailing Address - Country:US
Mailing Address - Phone:248-693-5829
Mailing Address - Fax:248-693-5829
Practice Address - Street 1:1261 S LAPEER RD
Practice Address - Street 2:SUITE 202
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1419
Practice Address - Country:US
Practice Address - Phone:248-693-5829
Practice Address - Fax:248-693-5829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009514111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty