Koukles, Theodore Michael

Koukles, Theodore Michael is an individual health care provider with primary practice located at 35525 Garfield Rd Suite B, Clinton Twp MI 48035-5521. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Koukles, Theodore Michael can be contacted via phone (586) 477-1800.

Contact Information

Primary practice address
35525 Garfield Rd Suite B Clinton Twp MI 48035-5521
Phone: (586) 477-1800
Fax: (586) 477-1815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 2301002803 Michigan

Profile Details

NPI number 1649277096
LBN Legal business name Koukles, Theodore Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Jun 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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