Signature Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

ML002909 Issued in MI

Legal business name

SIGNATURE CHIROPRACTIC PC

Practice address

909 W Maple Rd
Suite 106
Clawson, MI 48017

Phone

(248) 288-3280

Fax

(248) 288-3282

NPI assigned

Apr 3, 2006

Organization subpart

No

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

Authorized official

Name

Michael Alan Lorente

Title

Owner Pres

Phone

(248) 288-3280

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558323923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4720",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480994720",
            "telephone_number": "248-288-3280",
            "fax_number": "248-288-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 W MAPLE RD",
            "address_2": "SUITE 106",
            "city": "CLAWSON",
            "state": "MI",
            "postal_code": "48017",
            "telephone_number": "248-288-3280",
            "fax_number": "248-288-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LORENTE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER  PRES",
        "authorized_official_telephone_number": "248-288-3280"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "ML002909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3294146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.