Healthcare Provider Details

I. General information

NPI: 1912747619
Provider Name (Legal Business Name): CF CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2024
Last Update Date: 05/30/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 AMES ST
ELK RAPIDS MI
49629-8302
US

IV. Provider business mailing address

309 FAIRBANKS ST
ELK RAPIDS MI
49629-9751
US

V. Phone/Fax

Practice location:
  • Phone: 231-260-9080
  • Fax: 717-313-4388
Mailing address:
  • Phone: 231-260-9080
  • Fax: 717-313-4388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. CARLEY FARDELL
Title or Position: OWNER
Credential: DC
Phone: 231-260-9080