Benjamin Chiropractic & Functional Nutrition Center, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301005319 Issued in MI

Legal business name

BENJAMIN CHIROPRACTIC & FUNCTIONAL NUTRITION CENTER, P.C.

Practice address

114 South Second Street
Fowlerville, MI 48836-0289

Phone

(517) 223-9900

Fax

(517) 223-9900

NPI assigned

Nov 14, 2013

Organization subpart

No

Name

Rosemary Benjamin, D.C.

Title

Owner / Ceo

Phone

(517) 223-9900

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2013.

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1386074110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 289",
            "address_2": "114 SOUTH SECOND STREET",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488360289",
            "telephone_number": "517-223-9900",
            "fax_number": "517-223-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 SOUTH SECOND STREET",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488360289",
            "telephone_number": "517-223-9900",
            "fax_number": "517-223-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN CHIROPRACTIC & FUNCTIONAL NUTRITION CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "BENJAMIN",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "517-223-9900",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301005319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MICHIGAN CHIROPRACTIC LICENSE",
            "identifier": "2301005319",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Fowlerville, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.