Healthcare Provider Details

I. General information

NPI: 1982936944
Provider Name (Legal Business Name): BRIGHTON CHIROPRACTIC PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2010
Last Update Date: 02/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8599 W GRAND RIVER AVE STE A
BRIGHTON MI
48116-2332
US

IV. Provider business mailing address

8599 W GRAND RIVER AVE STE A
BRIGHTON MI
48116-2332
US

V. Phone/Fax

Practice location:
  • Phone: 810-229-4095
  • Fax: 810-229-0768
Mailing address:
  • Phone: 810-229-4095
  • Fax: 810-229-0768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number005462
License Number StateMI

VIII. Authorized Official

Name: STEVEN A TOWNSEND
Title or Position: OWNER
Credential: DC
Phone: 810-229-4095