Provider Demographics
NPI:1467273037
Name:PURDY CHIROPRACTIC EAST, PLLC
Entity type:Organization
Organization Name:PURDY CHIROPRACTIC EAST, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANTHON
Authorized Official - Last Name:PURDY II
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-465-7900
Mailing Address - Street 1:427 SIXTH STREET
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-650-6100
Mailing Address - Fax:248-650-3751
Practice Address - Street 1:51 SOUTHBOUND GRATIOT AVENUE
Practice Address - Street 2:
Practice Address - City:MT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043
Practice Address - Country:US
Practice Address - Phone:586-465-7900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty