Provider Demographics
NPI:1982090700
Name:AFFECTIVE CHIROPRACTIC, LLC.
Entity Type:Organization
Organization Name:AFFECTIVE CHIROPRACTIC, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIC
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:ADLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-379-5958
Mailing Address - Street 1:20836 HALL RD # 224
Mailing Address - Street 2:
Mailing Address - City:CLINTON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-7227
Mailing Address - Country:US
Mailing Address - Phone:301-379-5958
Mailing Address - Fax:
Practice Address - Street 1:1424 N ROCHESTER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-1188
Practice Address - Country:US
Practice Address - Phone:248-650-6100
Practice Address - Fax:248-650-3751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010261111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty