Provider Demographics
NPI:1710900089
Name:GEORGE J. SLOMA
Entity Type:Organization
Organization Name:GEORGE J. SLOMA
Other - Org Name:SCHPIRO CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:SLOMA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-575-2225
Mailing Address - Street 1:3226 28TH ST SE
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49512-1643
Mailing Address - Country:US
Mailing Address - Phone:616-575-2225
Mailing Address - Fax:616-575-2226
Practice Address - Street 1:3226 28TH ST SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49512-1643
Practice Address - Country:US
Practice Address - Phone:616-575-2225
Practice Address - Fax:616-575-2226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008937111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P01020Medicare PIN