Kazan Nutrition & Wellness Center Pc

LBN: Kazan Nutrition & Wellness Center Pc
Kazan Nutrition & Wellness Center Pc is an health care organization with primary practice located at 13700 Michigan Ave Ste 200 , Dearborn MI 48126-3489. The organization recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as the primary health care specialty. Kazan Nutrition & Wellness Center Pc can be contacted via phone (313) 652-1000, or through Kazan, Kallil via phone (313) 652-1000.

Contact Information

Primary practice address
13700 Michigan Ave Ste 200 Dearborn MI 48126-3489
Phone: (313) 652-1000
Fax: (800) 451-0881
Website:
Map and Directions
Authorized official contact:
Name: Kazan, Kallil Doctor of Chiropractic (DC)
Phone: (313) 652-1000

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X

Profile Details

NPI number 1588123087
LBN Legal business name Kazan Nutrition & Wellness Center Pc
DBA Doing business as
Authorized official Kazan, Kallil Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2019
Last updated Mar 14th, 2019 - about 5 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 1588123087 NPPES
Michigan MEDICAID 1346254604

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