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Contact Information

FUNCTIONAL HEALTH PC
2499 W HIGH ST
JACKSON, MI49203
 Phone: 517-783-5525
 Fax: 517-841-9152
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for FUNCTIONAL HEALTH PC

NPI # 1306940788
LBN Legal business name FUNCTIONAL HEALTH PC
Authorized official TODD ROBERTSON - (PRESIDENT DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MI License # 2301007518
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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