Provider Demographics
NPI:1770794315
Name:PARAGON CHIROPRACTIC AND WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:PARAGON CHIROPRACTIC AND WELLNESS CENTER PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:MCALEER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-590-2195
Mailing Address - Street 1:6405 TELEGRAPH RD
Mailing Address - Street 2:H - 3
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1716
Mailing Address - Country:US
Mailing Address - Phone:248-590-2195
Mailing Address - Fax:248-590-2198
Practice Address - Street 1:6405 TELEGRAPH RD
Practice Address - Street 2:H - 3
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-1716
Practice Address - Country:US
Practice Address - Phone:248-590-2195
Practice Address - Fax:248-590-2198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2016-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008396111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty