Eclectic Chiropractic Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ECLECTIC CHIROPRACTIC REHAB

Practice address

1777 Axtell Dr
Suite 100
Troy, MI 48084-4404

Phone

(248) 312-9249

Fax

(248) 281-7010

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Richard Beaubien, D.C.

Title

President

Phone

(248) 312-9249

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1841420957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-312-9249",
            "fax_number": "248-281-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 AXTELL DR",
            "address_2": "SUITE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844404",
            "telephone_number": "248-312-9249",
            "fax_number": "248-281-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTIC CHIROPRACTIC REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "BEAUBIEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-312-9249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Eatmon
• Veronica Battersby Ebbing
• Ec Concepts Group LLC
• Trevor Eckenswiller, DO
• Joseph Eckhout IV, PHARMD
• Lori Kanat Edelson, LMSW, LMFT
• Edward Adler MD PC
• Sharlie Raye Edwards, LMT
• Lauren Ehardt, D.D.S.
• Rebecca S Ehle, MSW,CSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.