Provider Demographics
NPI:1770647752
Name:FRANCIS CHIROPRACTIC CENTER PLLC
Entity Type:Organization
Organization Name:FRANCIS CHIROPRACTIC CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:KWAMINA
Authorized Official - Last Name:AWERE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-247-1000
Mailing Address - Street 1:945 BURTON STREET SW
Mailing Address - Street 2:
Mailing Address - City:WYOMING
Mailing Address - State:MI
Mailing Address - Zip Code:49509-1422
Mailing Address - Country:US
Mailing Address - Phone:616-247-1000
Mailing Address - Fax:616-247-0121
Practice Address - Street 1:945 BURTON STREET SW
Practice Address - Street 2:
Practice Address - City:WYOMING
Practice Address - State:MI
Practice Address - Zip Code:49509-1422
Practice Address - Country:US
Practice Address - Phone:616-247-1000
Practice Address - Fax:616-247-0121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2013-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFA004666111N00000X
MI2301004666111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T32985Medicare UPIN
MIT32985Medicare UPIN
0N66170Medicare PIN