1St Choice Chiropractic PLLC
Organization Active NPI Chiropractor · Redford, MI
NPI 1457911133 · NPPES record last updated Oct 10, 2019
Key facts
- NPI
- 1457911133
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- 1ST CHOICE CHIROPRACTIC PLLC
- Practice address
- 24350 Joy Rd Ste 1
Redford, MI 48239-1265 - Phone
- (313) 924-1234
- Fax
- (313) 924-1239
- NPI assigned
- Jun 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Hamzi Naserdean, DC
- Title
- Owner/Doctor
- Phone
- (313) 924-1234
Practitioners 1
-
Hamzi Mohamad Naserdean, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190830001030 | MI | Part B Supplier - Clinic/Group Practice | 4284962168 |
Receives reassigned benefits from 1 practitioner Practice locations: Dearborn Heights, MI |
National Provider Directory
Locations
26031 W Warren St
Ste 1
Dearborn Heights, MI 48127
Phone (313) 565-5800
24350 Joy Rd
Ste 1
Redford, MI 48239
Phone (313) 924-1234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
24350 Joy Rd Ste 1
Redford, MI 48239-1265
Mailing address
24350 Joy Rd Ste 1
Redford, MI 48239-1265
Phone (313) 924-1234
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851842744 | Medicaid | MI |
Other providers in Redford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.