Jeffrey E. Fantich, DC, PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301006930 Issued in MI

Legal business name

JEFFREY E. FANTICH, DC, PLC

Practice address

6022 W Maple Rd
Suite 405
West Bloomfield, MI 48322-4408

Phone

(248) 737-8066

Fax

(248) 737-9093

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Edward Fantich, D.C.

Title

Owner

Phone

(248) 737-8066

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Lee Pillow-White, N.C.T.M.

  • Massage Therapist
  • West Bloomfield, MI
  • NPI 1679613996
  NPD (past)

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1205001807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD",
            "address_2": "SUITE 405",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-737-8066",
            "fax_number": "248-737-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 W MAPLE RD",
            "address_2": "SUITE 405",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224408",
            "telephone_number": "248-737-8066",
            "fax_number": "248-737-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E. FANTICH, DC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "FANTICH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-737-8066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301006930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0F35177",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarc
• Jarc
• Artiesha Jarrett, RN
• Asma Javed
• Barry Jay, PH.D.
• Jeffrey G Obron PLLC
• Jeffrey S. Cohen DDS PC (Lakes Oral and Maxillofacial Surgery PC)
• Jeffrey Tulin Silver MD PC
• Jeffrey Weinfeld DDS
• Renee Frances Jenkinson, NP

• Chiropractor in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.