Provider Demographics
NPI:1952876732
Name:DINES, PAIGE MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:PAIGE
Middle Name:MARIE
Last Name:DINES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5864 CUTLER RD
Mailing Address - Street 2:
Mailing Address - City:LAKEVIEW
Mailing Address - State:MI
Mailing Address - Zip Code:48850-9145
Mailing Address - Country:US
Mailing Address - Phone:989-817-3286
Mailing Address - Fax:
Practice Address - Street 1:1883 W MONROE RD UNIT B
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MI
Practice Address - Zip Code:48880-8702
Practice Address - Country:US
Practice Address - Phone:989-681-2533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-09
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010728111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor