Provider Demographics
NPI:1255446019
Name:CHIROPRACTIC ASSOCIATES OF OAKLAND PC
Entity type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES OF OAKLAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HOEHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-425-3940
Mailing Address - Street 1:10950 FARMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-2753
Mailing Address - Country:US
Mailing Address - Phone:734-425-3940
Mailing Address - Fax:734-425-3948
Practice Address - Street 1:10950 FARMINGTON RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-2753
Practice Address - Country:US
Practice Address - Phone:734-425-3940
Practice Address - Fax:734-425-3948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIPH004395111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P34330Medicare PIN