Healthcare Provider Details

I. General information

NPI: 1801718952
Provider Name (Legal Business Name): CHIROCENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 WALLI STRASSE DR STE B
BURTON MI
48509-1729
US

IV. Provider business mailing address

6407 SANCTUARY POINTE CT
GRAND BLANC MI
48439-9029
US

V. Phone/Fax

Practice location:
  • Phone: 810-247-2349
  • Fax: 810-715-7716
Mailing address:
  • Phone: 810-247-2349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JACOB A ABU-AITA
Title or Position: OWNER
Credential: DC, MS, FACMUAP
Phone: 810-247-2349