Provider Demographics
NPI:1720701717
Name:CHIRO ONE SPORTS & SPINE CENTER PC
Entity Type:Organization
Organization Name:CHIRO ONE SPORTS & SPINE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NAIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAMEH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-595-5056
Mailing Address - Street 1:PO BOX 1645
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48121-1645
Mailing Address - Country:US
Mailing Address - Phone:313-644-0440
Mailing Address - Fax:313-644-0441
Practice Address - Street 1:6 PARKLAND BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126
Practice Address - Country:US
Practice Address - Phone:313-644-0440
Practice Address - Fax:313-644-0441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-23
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty