MEDICARE: DISCOVER HEALTH CHIROPRACTIC CENTER PC

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	2301008847	MI

General Provider Information

NPI Number	:	1871819656
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOVER HEALTH CHIROPRACTIC CENTER PC

Provider Business Mailing Address
First Line	:	1226 S GARFIELD AVE
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-4331
Country	:	US
Telephone Number	:	231-933-0069
Fax Number	:

Provider Business Practice Location Address
First Line	:	1226 S GARFIELD AVE
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49686-4331
Country	:	US
Telephone Number	:	231-933-0069
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BRANDON C WHITE
Credential	:	D.C.
Telephone Number	:	231-933-0069

Provider Enumeration Date	:	04/19/2010
Last Update Date	:	04/19/2010

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