Cafe Of Life Fenton, Llc

LBN: Cafe Of Life Fenton, Llc
Cafe Of Life Fenton, Llc is an health care organization with primary practice located at 114 W Caroline St , Fenton MI 48430-3802. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Cafe Of Life Fenton, Llc can be contacted via phone (810) 629-6023, or through Peabody, Erica Marie via phone (810) 629-6023.

Contact Information

Primary practice address
114 W Caroline St Fenton MI 48430-3802
Phone: (810) 629-6023
Fax: (810) 629-6024
Website:
Map and Directions
Authorized official contact:
Name: Peabody, Erica Marie Doctor of Chiropractic (DC)
Phone: (810) 629-6023

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301008978 Michigan

Profile Details

NPI number 1891913927
LBN Legal business name Cafe Of Life Fenton, Llc
DBA Doing business as
Authorized official Peabody, Erica Marie Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891913927 NPPES
Michigan MEDICAID 1000662

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