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Contact Information

TANNENBAUM CHIROPRACTIC LLC
4059 STONE SCHOOL RD
ANN ARBOR, MI48108
 Phone: 734-929-0444
 Fax: 734-929-0350
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for TANNENBAUM CHIROPRACTIC LLC

NPI Number 1255445540
LBN Legal business name TANNENBAUM CHIROPRACTIC LLC
Authorized official MICHAEL TANNENBAUM - (OWNER CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/17/2006
Last updated 04/16/2008 - About 18 years ago
Identifiers
MI License # 2301008615
MI Medicaid 4755140
Other 141980 CARE CHOICES
Other NC011916 MCARE
MI Other 95OH112120 BLUE CROSS BLUE SHIELD
MI Other OH11212 BLUECARE NETWORK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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