Provider Demographics
NPI:1760044341
Name:ADJUSTED HEALTH CHIROPRACTIC PLLC
Entity Type:Organization
Organization Name:ADJUSTED HEALTH CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DEREK
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:KACZOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-819-5254
Mailing Address - Street 1:14989 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48161-3769
Mailing Address - Country:US
Mailing Address - Phone:734-244-4285
Mailing Address - Fax:734-244-4518
Practice Address - Street 1:14989 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48161-3769
Practice Address - Country:US
Practice Address - Phone:734-244-4285
Practice Address - Fax:734-244-4518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-03
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty