Provider Demographics
NPI:1821022070
Name:ADVANCED CHIROPRACTIC OF MIDLAND P.C.
Entity type:Organization
Organization Name:ADVANCED CHIROPRACTIC OF MIDLAND P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:VANCE
Authorized Official - Last Name:NAGEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-837-5998
Mailing Address - Street 1:212 W WACKERLY ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-3000
Mailing Address - Country:US
Mailing Address - Phone:989-837-5998
Mailing Address - Fax:989-835-9632
Practice Address - Street 1:212 W WACKERLY ST
Practice Address - Street 2:SUITE B
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-3000
Practice Address - Country:US
Practice Address - Phone:989-837-5998
Practice Address - Fax:989-835-9632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty