Healthcare Provider Details

I. General information

NPI: 1073641817
Provider Name (Legal Business Name): THOMAS ANTHONY PINARD D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 02/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1671 W MICHIGAN AVE STE A-2
CLINTON MI
49236
US

IV. Provider business mailing address

1671 W MICHIGAN AVE STE A2
CLINTON MI
49236-8702
US

V. Phone/Fax

Practice location:
  • Phone: 517-403-9022
  • Fax:
Mailing address:
  • Phone: 517-456-5191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301007327
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: