Healthcare Provider Details

I. General information

NPI: 1275744948
Provider Name (Legal Business Name): ALTERNATIVE HEALTH & REHAB CENTRE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2284 S BALLENGER HWY STE F
FLINT MI
48503-3446
US

IV. Provider business mailing address

2284 S BALLENGER HWY STE F
FLINT MI
48503-3446
US

V. Phone/Fax

Practice location:
  • Phone: 810-235-5181
  • Fax: 810-235-5190
Mailing address:
  • Phone: 810-235-5181
  • Fax: 810-235-5190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number2301004346
License Number StateMI

VIII. Authorized Official

Name: DENNIS P BENN
Title or Position: MEMBER
Credential: DC
Phone: 810-235-5181