Provider Demographics
NPI:1831108604
Name:MICHIGAN HEALTH CENTERS PC
Entity Type:Organization
Organization Name:MICHIGAN HEALTH CENTERS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JOESPH
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-895-5090
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:ESSEXVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48732-2541
Mailing Address - Country:US
Mailing Address - Phone:989-895-5090
Mailing Address - Fax:989-895-8516
Practice Address - Street 1:863 N PINE RD
Practice Address - Street 2:SUITE E
Practice Address - City:ESSEXVILLE
Practice Address - State:MI
Practice Address - Zip Code:48732-2159
Practice Address - Country:US
Practice Address - Phone:989-895-5090
Practice Address - Fax:989-895-8516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008522111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950E6108990OtherBCBSM
MI950E6108990OtherBCBSM