Roberta R Synowiec, DC
Individual provider Active NPI Chiropractor · Grosse Ile, MI
NPI 1104806645 · NPPES record last updated Apr 24, 2008
Key facts
- NPI
- 1104806645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301009117 (MI)
- Practice address
- 28641 Elbamar Dr
Grosse Ile, MI 48138-2013 - Phone
- (734) 752-9744
- Fax
- (734) 675-6247
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301009117 | MI | Yes |
Addresses
Primary practice location
28641 Elbamar Dr
Grosse Ile, MI 48138-2013
Mailing address
28641 Elbamar Dr
Grosse Ile, MI 48138-2013
Phone (734) 752-9744
Other names
- Bertie R Synowiec
Other providers in Grosse Ile, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2008. 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.