Shallow Chiropractic Pc

LBN: Shallow Chiropractic Pc
Shallow Chiropractic Pc is an health care organization with primary practice located at 24820 Michigan Ave , Dearborn MI 48124-1713. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Shallow Chiropractic Pc can be contacted via phone (313) 277-3766, or through Shallow, Randy Joe via phone (313) 277-3766.

Contact Information

Primary practice address
24820 Michigan Ave Dearborn MI 48124-1713
Phone: (313) 277-3766
Fax: (313) 277-7196
Website:
Map and Directions
Authorized official contact:
Name: Shallow, Randy Joe Doctor of Chiropractic (DC)
Phone: (313) 277-3766

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301004116 Michigan

Profile Details

NPI number 1710988068
LBN Legal business name Shallow Chiropractic Pc
DBA Doing business as
Authorized official Shallow, Randy Joe Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2005
Last updated Aug 22nd, 2020 - 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 1710988068 NPPES
Michigan Other RS004116 BCBS

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