Brooklyn Enterprises LLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2301009067 Issued in MI

Legal business name

BROOKLYN ENTERPRISES LLC

Doing business as

Advanced Structural Chiropractic

Practice address

42040 Grand River Ave
Novi, MI 48375-1831

Phone

(248) 387-2788

Fax

(248) 679-3061

NPI assigned

Mar 22, 2013

Organization subpart

No

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

Authorized official

Name

Hythem H Rahman, D.C.

Title

Single Member Owner

Phone

(313) 949-6206

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Advanced Structural Chiropractic Doing business as

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363910400000",
    "number": "1912249475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42040 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751831",
            "telephone_number": "248-387-2788",
            "fax_number": "248-679-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42040 GRAND RIVER AVE",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751831",
            "telephone_number": "248-387-2788",
            "fax_number": "248-679-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-03-22",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "HYTHEM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SINGLE MEMBER OWNER",
        "authorized_official_telephone_number": "313-949-6206",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MI",
            "license": "2301009067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144370578",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Structural Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latonya Sherron Brock, LPN
• Jordan Anthony Broderick
• Mary Kay Brodrick, RN
• Kathleen Brokaw
• Claudette Rachel Brookins
• Tia Brooks-Wannemacher
• Desire Brooks
• Destyni Brooks
• Heaven Brooks
• Karen Jane Brooks

• Rehabilitation Chiropractor in Novi, MI
• Providers in Novi, MI by specialty
• Rehabilitation Chiropractor in Michigan

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

Verify at the official NPI Registry.