Provider Demographics
NPI:1265199905
Name:MI CHIRO CORPORATION
Entity type:Organization
Organization Name:MI CHIRO CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRONT DESK
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUBENSTRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-652-2577
Mailing Address - Street 1:526 W GENESEE ST STE 2
Mailing Address - Street 2:
Mailing Address - City:FRANKENMUTH
Mailing Address - State:MI
Mailing Address - Zip Code:48734-1357
Mailing Address - Country:US
Mailing Address - Phone:989-652-2577
Mailing Address - Fax:989-652-4776
Practice Address - Street 1:526 W GENESEE ST STE 4
Practice Address - Street 2:
Practice Address - City:FRANKENMUTH
Practice Address - State:MI
Practice Address - Zip Code:48734-1357
Practice Address - Country:US
Practice Address - Phone:989-652-2577
Practice Address - Fax:989-652-4776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-17
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1659837904OtherNPI