MEDICARE: DR. MICHELLE HEWITT DC

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	2301006106	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00142154	OTHER		MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669489720
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE HEWITT DC

Provider Business Mailing Address
First Line	:	1307 S MAIN ST
Second Line	:	SUITE C
City	:	CHELSEA
State	:	MI
Zip	:	48118-1479
Country	:	US
Telephone Number	:	734-433-1376
Fax Number	:	734-433-1388

Provider Business Practice Location Address
First Line	:	1307 S MAIN ST
Second Line	:	SUITE C
City	:	CHELSEA
State	:	MI
Zip	:	48118-1479
Country	:	US
Telephone Number	:	734-433-1376
Fax Number	:	734-433-1388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	02/13/2015

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Directions to “ DR. MICHELLE HEWITT DC” Practice Location

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