Integrated Chiropractic, Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009631 Issued in MI

Legal business name

INTEGRATED CHIROPRACTIC, INC

Practice address

4741 24 Mile Rd
Shelby TWP, MI 48316-3111

Phone

(586) 843-0009

Fax

(248) 413-5318

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Iftikhar Hussain, D.C.NPI 1285962563

Title

Owner

Phone

(586) 843-0009

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Iftikhar Hussain, D. C.

  • Chiropractor
  • Shelby TWP, MI
  • NPI 1285962563
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1669895884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 24 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163111",
            "telephone_number": "586-843-0009",
            "fax_number": "248-413-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 24 MILE RD",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483163111",
            "telephone_number": "586-843-0009",
            "fax_number": "248-413-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-843-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Shelby TWP, MI
• Providers in Shelby TWP, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.