Provider Demographics
NPI:1669607685
Name:PATTERSON, NANCY (DC)
Entity type:Individual
Prefix:DR
First Name:NANCY
Middle Name:
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16700 17 MILE RD
Mailing Address - Street 2:B
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-7325
Mailing Address - Country:US
Mailing Address - Phone:586-286-1112
Mailing Address - Fax:586-412-3673
Practice Address - Street 1:16700 17 MILE RD
Practice Address - Street 2:B
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-7325
Practice Address - Country:US
Practice Address - Phone:586-286-1112
Practice Address - Fax:586-412-3673
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009500111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor