Provider Demographics
NPI:1790858298
Name:S & M MAKHOOL, INC.
Entity Type:Organization
Organization Name:S & M MAKHOOL, INC.
Other - Org Name:BACK IN MOTION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAKHOOL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-914-8207
Mailing Address - Street 1:7269 INDIAN CREEK DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322-3123
Mailing Address - Country:US
Mailing Address - Phone:248-914-8207
Mailing Address - Fax:
Practice Address - Street 1:5452 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-3223
Practice Address - Country:US
Practice Address - Phone:313-586-3100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301006008111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIU72327Medicare UPIN
MI0P39070Medicare PIN