Provider Demographics
NPI:1801616792
Name:EMBRACE LIFE CHIROPRACTIC LLC OXFORD
Entity type:Organization
Organization Name:EMBRACE LIFE CHIROPRACTIC LLC OXFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BRACE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-628-5433
Mailing Address - Street 1:142 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-4975
Mailing Address - Country:US
Mailing Address - Phone:248-628-5433
Mailing Address - Fax:
Practice Address - Street 1:142 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-4975
Practice Address - Country:US
Practice Address - Phone:248-628-5433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty