Healthcare Provider Details

I. General information

NPI: 1841887171
Provider Name (Legal Business Name): CONNOR D SEXTON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 12/21/2020
Certification Date: 12/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8336 HILTON RD STE 100
BRIGHTON MI
48114-5015
US

IV. Provider business mailing address

8336 HILTON RD STE 100
BRIGHTON MI
48114-5015
US

V. Phone/Fax

Practice location:
  • Phone: 810-225-2288
  • Fax:
Mailing address:
  • Phone: 810-225-2288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number301010903
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: