CW Odell Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301000765 Issued in MI

Legal business name

CW ODELL CHIROPRACTIC CLINIC

Practice address

14390 Fort St
Southgate, MI 48195-1271

Phone

(734) 824-2828

Fax

(734) 284-0322

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Clair W Odell, D.C.

Title

President Owner

Phone

(734) 284-2828

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083754477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14390 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951271",
            "telephone_number": "734-824-2828",
            "fax_number": "734-284-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14390 FORT ST",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481951271",
            "telephone_number": "734-824-2828",
            "fax_number": "734-284-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CW ODELL CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ODELL",
        "authorized_official_first_name": "CLAIR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "734-284-2828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301000765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Cummings
• Candace A Cummings
• Denise Cunningham
• Natalie Cunningham
• Jimmie Kaye Curtis
• Cynthia R Aks DO PC
• Rashel Czadzeck
• Emily Nicole Czajka
• Jill M Czajka, LMSW
• Kira D'Alessandri, CPSS, CPRC

• Chiropractor in Southgate, MI
• Providers in Southgate, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.