Deehl Chiropractic Life Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301004090 Issued in MI

Legal business name

DEEHL CHIROPRACTIC LIFE CENTER PC

Practice address

106 N Pine St
Fenton, MI 48430-2166

Phone

(810) 750-9303

Fax

(810) 750-9339

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Steven Todd Deehl, DC

Title

Doctor

Phone

(810) 750-9303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164575627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 N PINE ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302166",
            "telephone_number": "810-750-9303",
            "fax_number": "810-750-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 N PINE ST",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302166",
            "telephone_number": "810-750-9303",
            "fax_number": "810-750-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEHL CHIROPRACTIC LIFE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEEHL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-750-9303",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301004090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2110048",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Elizabeth Irene Dennis
• Erica Dennis, CPHT
• Mary Elizabeth Dennis, RPH

• Chiropractor in Fenton, MI
• Providers in Fenton, 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.