| Pure Chiropractic Clinic Inc | |
|
34730 Plymouth Rd, Livonia, MI 48150-1440 | |
| (734) 680-8661 | |
| (734) 680-8661 |
| Full Name | Pure Chiropractic Clinic Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 34730 Plymouth Rd, Livonia, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508280751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2301010101 (Michigan) | Primary |
| Provider Name | John P Thomas |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1558783571 PECOS PAC ID: 1254562051 Enrollment ID: I20140319002242 |
| Provider Name | Gregory Frank Poma |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619642899 PECOS PAC ID: 5991102022 Enrollment ID: I20210916000911 |
| Provider Name | Jaime Roderick |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144091448 PECOS PAC ID: 6002268331 Enrollment ID: I20240122004432 |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Chiropractic Clinic Inc 34730 Plymouth Rd, Livonia, MI 48150-1440 Ph: (734) 680-8661 | Pure Chiropractic Clinic Inc 34730 Plymouth Rd, Livonia, MI 48150-1440 Ph: (734) 680-8661 |
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