Healthcare Provider Details

I. General information

NPI: 1487588067
Provider Name (Legal Business Name): DANIELS CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 N STATE ST STE B
CARO MI
48723-1543
US

IV. Provider business mailing address

2875 E DUTCHER RD
CARO MI
48723-9351
US

V. Phone/Fax

Practice location:
  • Phone: 989-208-3847
  • Fax:
Mailing address:
  • Phone: 989-890-2388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DANIEL DANIELS JR.
Title or Position: CHIROPRACTOR
Credential: DC
Phone: 989-890-2388