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Contact Information

SPECIALIZED FAMILY CHIROPRACTIC PC
8150 MOORSBRIDGE RD
SUITE B
PORTAGE, MI49024
 Phone: 269-323-4473
 Fax: 269-324-0755
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor - Nutrition

111NN1001X 35 Chiropractic
 

Chiropractor

111N00000X 35 Chiropractic
 

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for SPECIALIZED FAMILY CHIROPRACTIC PC

NPI # 1881854164
LBN Legal business name SPECIALIZED FAMILY CHIROPRACTIC PC
Authorized official STEVEN OSTERHOUT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/11/2008
Last updated 09/21/2012 - About 14 years ago
Identifiers
MI Other 0C91557 BCBS
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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