Active NPI
Back in Line Chiropractic PC
- Chiropractor
- Hazel Park, MI
National Provider Identifier
1871668400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008526
- Legal business name
- BACK IN LINE CHIROPRACTIC PC
- Practice address
- 712 E. 9 Mile Rd
Hazel Park, MI 48030 - Phone
- (248) 556-5890
- Fax
- (248) 556-5891
- NPI assigned
- Nov 21, 2006
- Last updated
- Aug 15, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mohamed Saleh, D.C.
- Title
- Owner
- Phone
- (313) 768-8858
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008526 | MI | Primary |
Addresses
Primary practice location
712 E. 9 Mile Rd
Hazel Park, MI 48030
Mailing address
PO Box 365
Hazel Park, MI 48030-0365
Phone (313) 768-8858
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14493280 | Medicaid | MI | |
| 1760598171 | Other | MI | OUAIS NPI |
| 0P37990 | Other | MI | BCBS |
National Provider Directory
National Provider DirectoryLocations
712 E 9 Mile Rd
Hazel Park, MI 48030
Phone (248) 556-5890
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Alvin, TX
- NPI 1588043053
-
- Chiropractor
- North Aurora, IL
- NPI 1760598171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1376524800000",
"number": "1871668400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 365",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "480300365",
"telephone_number": "313-768-8858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "712 E. 9 MILE RD",
"city": "HAZEL PARK",
"state": "MI",
"postal_code": "48030",
"telephone_number": "248-556-5890",
"fax_number": "248-556-5891"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BACK IN LINE CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2013-08-15",
"status": "A",
"authorized_official_last_name": "SALEH",
"authorized_official_first_name": "MOHAMED",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-768-8858",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008526",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14493280",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUAIS NPI",
"identifier": "1760598171",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0P37990",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hazel Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.