Healthcare Provider Details

I. General information

NPI: 1588693295
Provider Name (Legal Business Name): MARCOUX CHIROPRACTIC, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2693 OAK MEADOW DR
HOWELL MI
48843-9485
US

IV. Provider business mailing address

2693 OAK MEADOW DR
HOWELL MI
48843-9485
US

V. Phone/Fax

Practice location:
  • Phone: 517-552-8531
  • Fax:
Mailing address:
  • Phone: 517-552-8531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2301004528
License Number StateMI

VIII. Authorized Official

Name: DR. JAMES A MARCOUX
Title or Position: DOCTOR OF CHIROPRACTIC
Credential: D.C.
Phone: 517-552-8531