Spine by Design Inc.
Organization Active NPI Chiropractor · Stanwood, MI
NPI 1073969960 · NPPES record last updated May 10, 2016
Key facts
- NPI
- 1073969960
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009783 (MI)
- Legal business name
- SPINE BY DESIGN INC.
- Practice address
- 10032 Buchanan Rd
Stanwood, MI 49346 - Phone
- (231) 972-1144
- Fax
- (888) 965-4351
- NPI assigned
- May 10, 2016
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas J White, D.C.
- Title
- Owner
- Phone
- (231) 972-1144
National Provider Directory
Locations
10032 Buchanan Rd
Stanwood, MI 49346
Phone (231) 972-1144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2301009783 | MI | Yes |
Addresses
Primary practice location
10032 Buchanan Rd
Stanwood, MI 49346
Mailing address
10032 Buchanan Rd
Stanwood, MI 49346
Phone (231) 972-1144
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174728315 | Other | NPI | |
| 11493612 | Other | CAQH ID | |
| MI9379 | Other | MI | MEDICARE ID |
| 2301009783 | Other | MI | MICHIGAN CHIROPRACTIC LICENSE |
Other providers in Stanwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.