Tel Ten Chiro L.L.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009012 Issued in MI

Legal business name

TEL TEN CHIRO L.L.C

Practice address

24371 W 10 Mile Rd Ste B
Southfield, MI 48033-2929

Phone

(248) 709-2447

Fax

(248) 399-8644

NPI assigned

Jun 23, 2014

Organization subpart

No

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

Authorized official

Name

Yong H Song, D.C.

Title

Member

Phone

(248) 709-2447

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1548675184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24371 W 10 MILE RD STE B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332929",
            "telephone_number": "248-709-2447",
            "fax_number": "248-399-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24371 W 10 MILE RD STE B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332929",
            "telephone_number": "248-709-2447",
            "fax_number": "248-399-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEL TEN CHIRO L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YONG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "248-709-2447",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Southfield, MI
• Providers in Southfield, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.