MEDICARE: WASHINGTON FAMILY 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	DA007334	MI

General Provider Information

NPI Number	:	1881876787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WASHINGTON FAMILY CHIROPRACTIC CENTER PC

Provider Business Mailing Address
First Line	:	51940 VAN DYKE AVE
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4453
Country	:	US
Telephone Number	:	586-739-8700
Fax Number	:	586-739-7710

Provider Business Practice Location Address
First Line	:	51940 VAN DYKE AVE
Second Line	:
City	:	SHELBY TOWNSHIP
State	:	MI
Zip	:	48316-4453
Country	:	US
Telephone Number	:	586-739-8700
Fax Number	:	586-739-7710

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MRS. KRISTEN ANN ARNOLD
Credential	:
Telephone Number	:	586-739-8700

Provider Enumeration Date	:	12/03/2007
Last Update Date	:	02/12/2013

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