Downriver Industrial Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

AH002423 Issued in MI

Legal business name

DOWNRIVER INDUSTRIAL CLINIC PC

Practice address

4005 W Jefferson Avenue
Ecorse, MI 48229

Phone

(313) 382-4288

NPI assigned

Aug 22, 2006

Last updated

Jan 14, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Allan M Hoff, DC

Title

President

Phone

(313) 382-4288

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1023124120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 W JEFFERSON AVENUE",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "48229",
            "telephone_number": "313-382-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W JEFFERSON AVENUE",
            "city": "ECORSE",
            "state": "MI",
            "postal_code": "48229",
            "telephone_number": "313-382-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER INDUSTRIAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "ALLAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-382-4288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "AH002423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P25752F",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4347487-14",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Ecorse, MI
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• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.