Great Lakes Spine & Rehab Clinic Llc

LBN: Great Lakes Spine & Rehab Clinic Llc
Great Lakes Spine & Rehab Clinic Llc is an health care organization with primary practice located at 14500 King Rd , Riverview MI 48193-7957. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Great Lakes Spine & Rehab Clinic Llc can be contacted via phone (734) 560-7300, or through Stanley, Richard J via phone (734) 560-7300.

Contact Information

Primary practice address
14500 King Rd Riverview MI 48193-7957
Phone: (734) 560-7300
Fax: (734) 250-7454
Website:
Map and Directions
Authorized official contact:
Name: Stanley, Richard J Doctor of Chiropractic (DC)
Phone: (734) 560-7300

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X RS008086 Michigan

Profile Details

NPI number 1285929547
LBN Legal business name Great Lakes Spine & Rehab Clinic Llc
DBA Doing business as
Authorized official Stanley, Richard J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2011
Last updated Dec 29th, 2011 - about 13 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 1285929547 NPPES
Michigan MEDICAID 4829904-14
Michigan Other 950H217760

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