National Provider Identifier Database

FUNCTIONAL HEALTH PC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

FUNCTIONAL HEALTH PC
2499 W HIGH ST
JACKSON, MI49203
Phone: 517-783-5525
Fax: 517-841-9152
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for FUNCTIONAL HEALTH PC

NPI Number 1306940788
Legal business name
LBN
FUNCTIONAL HEALTH PC
Authorized official TODD ROBERTSON - (PRESIDENT DOCTOR)
Entity Organization
Organization subpart No
Enumeration date 09/07/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 2301007518

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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