Healthcare Provider Details
I. General information
NPI: 1336462589
Provider Name (Legal Business Name): TUREK ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2010
Last Update Date: 03/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
445 S US 23
HARRISVILLE MI
48740-9405
US
IV. Provider business mailing address
445 S US 23
HARRISVILLE MI
48740-9405
US
V. Phone/Fax
- Phone: 989-724-5052
- Fax: 989-724-5052
- Phone: 989-724-5052
- Fax: 989-724-5052
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
JOSEPH
TUREK
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 989-724-5052