Provider Demographics
NPI:1932372737
Name:A BETTER LIFE CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:A BETTER LIFE CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-384-7190
Mailing Address - Street 1:2200 N MONROE ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-4254
Mailing Address - Country:US
Mailing Address - Phone:734-384-7190
Mailing Address - Fax:
Practice Address - Street 1:2200 N MONROE ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-4254
Practice Address - Country:US
Practice Address - Phone:734-384-7190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-12
Last Update Date:2008-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301003005111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950E811410OtherBLUE CROSS BLUE SHIELD
MI007599790OtherAETNA
MI008911829OtherCIGNA
MI020347021OtherCOFINITY
MI03503974OtherUNTED HEALTH
MI23407021OtherHUMANA
MI4944370Medicaid
MI008911829OtherCIGNA