Healthcare Provider Details

I. General information

NPI: 1922134824
Provider Name (Legal Business Name): TERRY PALMER DC PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 05/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 W SOUTH AVE
HESPERIA MI
49421-9702
US

IV. Provider business mailing address

81 W SOUTH AVE
HESPERIA MI
49421-9702
US

V. Phone/Fax

Practice location:
  • Phone: 231-854-1455
  • Fax: 231-854-0299
Mailing address:
  • Phone: 231-854-1455
  • Fax: 231-854-0299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDP007201
License Number StateMI

VIII. Authorized Official

Name: DR. DAMIAN AARON PALMER
Title or Position: PRESIDENT
Credential: D.C.
Phone: 231-854-1455