MEDICARE: SEHGAL CHIROPRACTIC, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2301008204	MI

General Provider Information

NPI Number	:	1386672962
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEHGAL CHIROPRACTIC, INC.

Provider Business Mailing Address
First Line	:	29273 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-4804
Country	:	US
Telephone Number	:	248-548-9355
Fax Number	:	248-548-9570

Provider Business Practice Location Address
First Line	:	29273 DEQUINDRE RD
Second Line	:
City	:	MADISON HEIGHTS
State	:	MI
Zip	:	48071-4804
Country	:	US
Telephone Number	:	248-548-9355
Fax Number	:	248-548-9570

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RANJIV R. SEHGAL
Credential	:	D.C.
Telephone Number	:	248-548-9355

Provider Enumeration Date	:	06/30/2006
Last Update Date	:	08/22/2020

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