Healthcare Provider Details
I. General information
NPI: 1477757110
Provider Name (Legal Business Name): INSPIRE HEALTH CHIROPRACTIC PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/14/2007
Last Update Date: 07/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
219 N BRIDGE ST
BELLAIRE MI
49615-9589
US
IV. Provider business mailing address
PO BOX 836
BELLAIRE MI
49615-0836
US
V. Phone/Fax
- Phone: 231-533-8638
- Fax: 231-533-6773
- Phone: 231-533-8638
- Fax: 231-533-6773
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | NOT APPLICABLE |
| License Number State | MI |
VIII. Authorized Official
Name: DR.
KATHRYN
HOYT
Title or Position: PRESIDENT
Credential: DC
Phone: 231-533-8638