Provider Demographics
NPI:1770657744
Name:MAJOR, MICHAEL AUGUST (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:AUGUST
Last Name:MAJOR
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 1:11401 N 56TH ST STE 18
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-2218
Mailing Address - Country:US
Mailing Address - Phone:813-983-0883
Mailing Address - Fax:813-983-0370
Practice Address - Street 1:11401 N 56TH ST STE 18
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-2218
Practice Address - Country:US
Practice Address - Phone:813-983-0883
Practice Address - Fax:813-983-0370
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 6775111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE3123ZMedicare ID - Type Unspecified