Healthcare Provider Details

I. General information

NPI: 1891889077
Provider Name (Legal Business Name): RIBLEY CHIROPRACTIC CLINIC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20960 TELEGRAPH RD
BROWNSTOWN MI
48174-9319
US

IV. Provider business mailing address

20960 TELEGRAPH RD
BROWNSTOWN MI
48174-9319
US

V. Phone/Fax

Practice location:
  • Phone: 734-479-2700
  • Fax: 734-479-5133
Mailing address:
  • Phone: 734-479-2700
  • Fax: 734-479-5133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CHARLES E RIBLEY
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 734-479-2700