Provider Demographics
NPI:1295740694
Name:MAY-LAFALCE, TERYL J (DC)
Entity type:Individual
Prefix:DR
First Name:TERYL
Middle Name:J
Last Name:MAY-LAFALCE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3045 GRANGE HALL RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-1020
Mailing Address - Country:US
Mailing Address - Phone:248-634-5401
Mailing Address - Fax:248-634-5424
Practice Address - Street 1:3045 GRANGE HALL RD
Practice Address - Street 2:SUITE 8
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-1020
Practice Address - Country:US
Practice Address - Phone:248-634-5401
Practice Address - Fax:248-634-5424
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2013-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2760552Medicaid
MI950F3276101OtherBCBS
MI1163941OtherMESC
MIOF353353951Medicare ID - Type Unspecified
MI1163941OtherMESC