Provider Demographics
NPI:1245367978
Name:NESCI CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:NESCI CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:
Authorized Official - Last Name:NESCI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-226-3724
Mailing Address - Street 1:37450 GARFIELD RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48036-3657
Mailing Address - Country:US
Mailing Address - Phone:586-226-3724
Mailing Address - Fax:
Practice Address - Street 1:37450 GARFIELD RD
Practice Address - Street 2:SUITE 250
Practice Address - City:CLINTON TWP
Practice Address - State:MI
Practice Address - Zip Code:48036-3657
Practice Address - Country:US
Practice Address - Phone:586-226-3724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI95 0E01175OtherBLUE CROSS BLUE SHIELD
MI0M93570Medicare PIN