Provider Demographics
NPI:1699819144
Name:CARLINI, PHILLIP FRANK (DC)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:FRANK
Last Name:CARLINI
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 1:29930 W 12 MILE RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-3983
Mailing Address - Country:US
Mailing Address - Phone:248-855-0360
Mailing Address - Fax:248-855-0361
Practice Address - Street 1:29930 W 12 MILE RD
Practice Address - Street 2:SUITE 3
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-3983
Practice Address - Country:US
Practice Address - Phone:248-855-0360
Practice Address - Fax:248-855-0361
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301004623111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor