Provider Demographics
NPI:1861660821
Name:CHIROPRACTIC HEALTH CENTER OF BRIGHTON PLC
Entity Type:Organization
Organization Name:CHIROPRACTIC HEALTH CENTER OF BRIGHTON PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:810-229-5591
Mailing Address - Street 1:8143 GRAND RIVER RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-9406
Mailing Address - Country:US
Mailing Address - Phone:810-229-5591
Mailing Address - Fax:810-229-0543
Practice Address - Street 1:8143 GRAND RIVER RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-9406
Practice Address - Country:US
Practice Address - Phone:810-229-5591
Practice Address - Fax:810-229-0543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-13
Last Update Date:2010-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301007830111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty