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Contact Information

THEODORE M KOUKLES, DC
35525 GARFIELD RD
SUITE B
CILNTON TOWNSHIP, MI48035-5521
 Phone: 586-477-1800
 Fax: 586-477-1815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for THEODORE M KOUKLES · (Male)

NPI # 1649277096
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 06/30/2005
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 2301002803
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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