Provider Demographics
NPI:1801935770
Name:PROHEALTH CHIROPRACTIC ASSOCIATES PC
Entity type:Organization
Organization Name:PROHEALTH CHIROPRACTIC ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:S
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-974-2486
Mailing Address - Street 1:40552 LADENE LN
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-5135
Mailing Address - Country:US
Mailing Address - Phone:248-974-2486
Mailing Address - Fax:248-348-2308
Practice Address - Street 1:40552 LADENE LN
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-5135
Practice Address - Country:US
Practice Address - Phone:248-974-2486
Practice Address - Fax:248-348-2308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty