Provider Demographics
NPI:1922131945
Name:DUNCAN, ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:DUNCAN
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 1:35046 WOODWARD AVE STE L14
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48009-0964
Mailing Address - Country:US
Mailing Address - Phone:248-977-0664
Mailing Address - Fax:248-681-4088
Practice Address - Street 1:35046 WOODWARD AVE STE L14
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:MI
Practice Address - Zip Code:48009-0964
Practice Address - Country:US
Practice Address - Phone:248-977-0664
Practice Address - Fax:248-681-4088
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIED008882111N00000X
MI2301008882111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1060734OtherCIGNA
MI140342OtherPREFERRED CHOICES
MI950D710730OtherBCBS OF MI
MI950D710730OtherBCBS OF MI
MI0N99220001Medicare ID - Type Unspecified