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Contact Information

ADVANCED CHIROPRACTIC
17600 W WARREN AVE
DETROIT, MI48228-3509
 Phone: 313-420-9655
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

111NR0400X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ADVANCED CHIROPRACTIC

NPI Number 1104245653
LBN Legal business name ADVANCED CHIROPRACTIC
Authorized official REZA HAFEZI - (CHIROPRACTIC)
Entity Organization
Organization subpart 1 No
Enumeration date 04/14/2014
Last updated 04/14/2014 - About 12 years ago
Identifiers
MI License # 2301007342
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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