Healthcare Provider Details

I. General information

NPI: 1801575881
Provider Name (Legal Business Name): AMERICAN HEALTHCORE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2023
Last Update Date: 07/17/2023
Certification Date: 07/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

G3535 BEECHER RD STE A
FLINT MI
48532-2700
US

IV. Provider business mailing address

2210 RADCLIFFE DR
TROY MI
48085-6720
US

V. Phone/Fax

Practice location:
  • Phone: 586-563-5126
  • Fax:
Mailing address:
  • Phone: 586-563-5126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. YAGNESHKUMAR PRAHLADBHAI PATEL
Title or Position: PHYSICAL THERAPIST
Credential: RPT
Phone: 586-563-5126