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Contact Information

FULLY ALIVE FAMILY CHIROPRACTIC
2600 LINCOLN AVE STE A
SAINT JOSEPH, MI49085
 Phone: 269-556-9654
 Fax: 269-556-9735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for FULLY ALIVE FAMILY CHIROPRACTIC

NPI # 1801098256
LBN Legal business name FULLY ALIVE FAMILY CHIROPRACTIC
Authorized official BROOK STEWART - (FINANCIAL CHIROPRACTIC ASSISTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2007
Last updated 08/20/2018 - About 8 years ago
Identifiers
MI License # TC009168
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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