Provider Demographics
NPI:1982015400
Name:MCCARTNEY FAMILY CHIROPRACTIC AND WELLNESS PC
Entity Type:Organization
Organization Name:MCCARTNEY FAMILY CHIROPRACTIC AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARTNEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:248-391-1600
Mailing Address - Street 1:1079 S BALDWIN RD
Mailing Address - Street 2:
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1045
Mailing Address - Country:US
Mailing Address - Phone:248-391-1600
Mailing Address - Fax:248-391-1624
Practice Address - Street 1:1079 S BALDWIN RD
Practice Address - Street 2:
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1045
Practice Address - Country:US
Practice Address - Phone:248-391-1600
Practice Address - Fax:248-391-1624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009619111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty