Downriver Spine Management Clinic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010126 Issued in MI

Legal business name

DOWNRIVER SPINE MANAGEMENT CLINIC PLLC

Practice address

4828 Allen Rd
Allen Park, MI 48101-2914

Phone

(313) 406-2410

Fax

(313) 228-5294

NPI assigned

Feb 13, 2017

Reactivated

Sep 25, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed J Raychouni, D.C.

Title

Owner

Phone

(313) 406-2410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Tax ID family

Downriver Spine Management Clinic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Downriver Spine Management Clinic P.L.L.C

  • Chiropractor
  • Allen Park, MI
  • NPI 1588545065
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mustafa Raychouni, DC

  • Chiropractor
  • Allen Park, MI
  • NPI 1326638602
  Medicare reassignment
• Ali Issam El-Habhab, D.C.

  • Chiropractor
  • Royal Oak, MI
  • NPI 1619623998
  NPD (past)

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1275072175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4828 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012914",
            "telephone_number": "313-406-2410",
            "fax_number": "313-228-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4828 ALLEN RD",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481012914",
            "telephone_number": "313-406-2410",
            "fax_number": "313-228-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNRIVER SPINE MANAGEMENT CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-13",
        "last_updated": "2025-09-25",
        "deactivation_date": "2025-05-16",
        "reactivation_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "RAYCHOUNI",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-406-2410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Downriver ENT PC
• Downriver ENT, P.C.
• Downriver Pain Management & Rehab LLC
• Downriver Professional Counseling, PLLC
• Downriver Spine Management Clinic P.L.L.C
• Downriver Vascular Associates PLC
• Dr Pervez & Associates PC
• Dr. J. Thwainey MD PC
• Dr. Stacey Lee, DDS, PC
• Nathalie Duguay, APRN

• Chiropractor in Allen Park, MI
• Providers in Allen Park, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.