MEDICARE: PRO CHIROPRACTIC PLLC

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	2301005895	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1518967298	OTHER	AZ	BCBS
2	95-0-F3-2959-0	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1881920718
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRO CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	PO BOX 220
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48012-0220
Country	:	US
Telephone Number	:	480-284-9072
Fax Number	:

Provider Business Practice Location Address
First Line	:	536 N OLD WOODWARD AVE
Second Line	:
City	:	BIRMINGHAM
State	:	MI
Zip	:	48009-5375
Country	:	US
Telephone Number	:	248-792-9736
Fax Number	:

Authorized Official
Title or Position	:	CLINIC DIRECTOR
Name	:	DR. RAYMOND JAMES HLLENBRAND
Credential	:	DC
Telephone Number	:	480-284-9072

Provider Enumeration Date	:	10/28/2009
Last Update Date	:	12/31/2009

Similar Medicare Providers

1457355737 — GREGORY PAUL DERDERIAN D.O.
Practice Location Address:

538 N OLD WOODWARD AVE
BIRMINGHAM, MI
48009-5375

Practice Phone: 248-594-3091
Practice Fax: 248-594-3068

1063598134 — DR. PATRICK GLENN SMITH D.D.S.
Practice Location Address:

532 N OLD WOODWARD AVE
BIRMINGHAM, MI
48009-5375

Practice Phone: 248-644-3414
Practice Fax: 248-644-1012

1093915910 — MICHIGAN VASCULAR INSTITUTE PLLC
Practice Location Address:

538 N OLD WOODWARD AVE
BIRMINGHAM, MI
48009-5375

Practice Phone: 248-594-3091
Practice Fax: 248-594-3068

1629936489 — HALEY NICOLE PRUE
Practice Location Address:

1669 W MAPLE RD
BIRMINGHAM, MI
48009-1230

Practice Phone: 248-646-3347
Practice Fax:

1326907635 — RONDA MATTI
Practice Location Address:

619 S ADAMS RD
BIRMINGHAM, MI
48009-6809

Practice Phone: 248-823-7015
Practice Fax:

1427915214 — DR. SAMAH ALSALMANI
Practice Location Address:

800 S ADAMS RD
BIRMINGHAM, MI
48009-7005

Practice Phone: 248-646-9597
Practice Fax:

Directions to “PRO CHIROPRACTIC PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.