Northwest Chiropractic Life Center Pc

NPI 1073788238 - Chiropractor - 111N00000X

NPI Details
NPI 1073788238
Enumeration Date 04/28/2008
Last Updated 04/28/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name KENNETH S.J. KENNETH
Position OWNER
Phone (517) 784-9123
Fax (517) 784-9150
Practice Location
645 SAINT CLAIR AVE
JACKSON MI, 49202-2024, US
Phone (517) 784-9123
Fax (517) 784-9150
Business Location
645 SAINT CLAIR AVE
JACKSON MI, 49202-2024, US
Phone (517) 784-9123
Fax (517) 784-9150
Toxanomy
Taxonomy Code 111N00000X
License State Michigan
License Number 2301002595
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According to our database, Northwest Chiropractic Life Center Pc NPI is 1073788238, taxonomy code is 111N00000X and license number is 2301002595, license state is located at Michigan. Northwest Chiropractic Life Center Pc physically located at 645 Saint Clair Ave, Jackson MI, 49202-2024. NPI Number 1033115704 has the healthcare provider type.

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1073788238 NPI number is provided on an as is basis without warranty of any kind. 1073788238 is maintained by the National Plan & Provider Enumeration System. The contents of Northwest Chiropractic Life Center Pc are for informational purposes only.