Provider Demographics
NPI:1295881233
Name:MICHIGAN CHIROPRACTIC SPECIALISTS, P.C.
Entity type:Organization
Organization Name:MICHIGAN CHIROPRACTIC SPECIALISTS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:APFELBLAT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-838-0353
Mailing Address - Street 1:30900 FORD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:GARDEN CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48135-1892
Mailing Address - Country:US
Mailing Address - Phone:734-838-0353
Mailing Address - Fax:734-838-0359
Practice Address - Street 1:30900 FORD RD
Practice Address - Street 2:SUITE C
Practice Address - City:GARDEN CITY
Practice Address - State:MI
Practice Address - Zip Code:48135-1892
Practice Address - Country:US
Practice Address - Phone:734-838-0353
Practice Address - Fax:734-838-0359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008485111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950H226690OtherBLUE CARE NETWORK HMO PIN
MI950H226690OtherBCBS GROUP PIN
MI950H226690OtherBLUE CARE NETWORK HMO PIN
MI0P27830Medicare PIN