Provider Demographics
NPI:1770746117
Name:DOINIDIS CHIROPRACTIC HEALTH CENTER, PLLC
Entity type:Organization
Organization Name:DOINIDIS CHIROPRACTIC HEALTH CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:DOINIDIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-348-7530
Mailing Address - Street 1:24520 MEADOWBROOK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-2883
Mailing Address - Country:US
Mailing Address - Phone:248-348-7530
Mailing Address - Fax:248-348-7766
Practice Address - Street 1:24520 MEADOWBROOK RD STE 200
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-2883
Practice Address - Country:US
Practice Address - Phone:248-348-7530
Practice Address - Fax:248-348-7766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-07
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301002994111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0F35108OtherBCBSM MEDICARE ADVANTAGE
MI350039500OtherPALMETTO GBA - RAILROAD MEDICARE
MI2099880Medicaid
MI0F35108OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI0F35108Medicare PIN
MI0F35108OtherBCBSM MEDICARE ADVANTAGE