Provider Demographics
NPI:1649466194
Name:DOTTO FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:DOTTO FAMILY CHIROPRACTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:DOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-266-8444
Mailing Address - Street 1:15365 HUBBARD ST
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-3147
Mailing Address - Country:US
Mailing Address - Phone:734-266-8444
Mailing Address - Fax:734-266-8484
Practice Address - Street 1:15365 HUBBARD ST
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-3147
Practice Address - Country:US
Practice Address - Phone:734-266-8444
Practice Address - Fax:734-266-8484
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-19
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI08733111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P10810Medicare PIN
MIV03875Medicare UPIN