Provider Demographics
NPI:1336528405
Name:MINXES INCORPORATED
Entity Type:Organization
Organization Name:MINXES INCORPORATED
Other - Org Name:BACK TO HEALTH CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FARKAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-952-1900
Mailing Address - Street 1:1175 W LONG LAKE RD
Mailing Address - Street 2:100
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4438
Mailing Address - Country:US
Mailing Address - Phone:248-952-1900
Mailing Address - Fax:248-247-1691
Practice Address - Street 1:1175 W LONG LAKE RD
Practice Address - Street 2:100
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-4438
Practice Address - Country:US
Practice Address - Phone:248-952-1900
Practice Address - Fax:248-247-1691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008944111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty