Chiropractic 4 Life | |
17526 W 7 Mile Rd, Detroit, MI 48235-3045 | |
(313) 889-1625 | |
Not Available |
Full Name | Chiropractic 4 Life |
---|---|
Type | Facility |
Speciality | Chiropractor - Internist |
Location | 17526 W 7 Mile Rd, Detroit, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174358915 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
111NI0900X | Chiropractor - Internist | (* (Not Available)) | Primary |
Provider Name | Jean Laine |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1972792760 PECOS PAC ID: 3072837145 Enrollment ID: I20250102002887 |
Mailing Address | Practice Location Address |
---|---|
Chiropractic 4 Life 17526 W 7 Mile Rd, Detroit, MI 48235-3045 Ph: (313) 889-1625 | Chiropractic 4 Life 17526 W 7 Mile Rd, Detroit, MI 48235-3045 Ph: (313) 889-1625 |
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