Healthcare Provider Details

I. General information

NPI: 1407966104
Provider Name (Legal Business Name): RASHAD SALEH D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 10/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 W VERNOR HWY
DETROIT MI
48209-2180
US

IV. Provider business mailing address

5901 W VERNOR HWY
DETROIT MI
48209-2180
US

V. Phone/Fax

Practice location:
  • Phone: 313-554-4357
  • Fax: 313-554-1565
Mailing address:
  • Phone: 313-554-4357
  • Fax: 313-554-1565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008454
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number2301008454
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code111NT0100X
TaxonomyThermography Chiropractor
License Number2301008454
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: