Provider Demographics
NPI:1710693692
Name:LINT CHIROPRACTIC II PC
Entity Type:Organization
Organization Name:LINT CHIROPRACTIC II PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:KAYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-536-8434
Mailing Address - Street 1:PO BOX 772813
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48277-2813
Mailing Address - Country:US
Mailing Address - Phone:877-401-1440
Mailing Address - Fax:727-821-8913
Practice Address - Street 1:24901 NORTHWESTERN HWY STE 310
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2207
Practice Address - Country:US
Practice Address - Phone:248-327-7550
Practice Address - Fax:727-821-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-25
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Single Specialty