Advanced Chiropractic PLLC
Organization Active NPI Chiropractor · Cadillac, MI
NPI 1669720413 · NPPES record last updated Aug 28, 2012
Key facts
- NPI
- 1669720413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2301005477 (MI)
- Legal business name
- ADVANCED CHIROPRACTIC PLLC
- Practice address
- 932 N Mitchell St
Suite 6
Cadillac, MI 49601-1285 - Phone
- (231) 779-2100
- Fax
- (231) 779-3050
- NPI assigned
- Aug 28, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Paul D Kelly, DC
- Title
- Chiropractor
- Phone
- (231) 779-2100
Practitioners 1
National Provider Directory
Locations
932 N Mitchell St
Ste 6
Cadillac, MI 49601
Phone (231) 779-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2301005477 | MI | Yes |
Addresses
Primary practice location
932 N Mitchell St
Suite 6
Cadillac, MI 49601-1285
Mailing address
932 N Mitchell St
Suite 6
Cadillac, MI 49601-1285
Phone (231) 779-2100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OH35007 | Other | MI | MEDICARE |
Other providers in Cadillac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.