Healthcare Provider Details

I. General information

NPI: 1649240540
Provider Name (Legal Business Name): DELHI CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 EATON RAPIDS RD
LANSING MI
48911-6309
US

IV. Provider business mailing address

2600 EATON RAPIDS RD
LANSING MI
48911-6309
US

V. Phone/Fax

Practice location:
  • Phone: 517-699-0909
  • Fax: 517-999-3472
Mailing address:
  • Phone: 517-699-0909
  • Fax: 517-999-3472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN WILLIAM TRELOAR II
Title or Position: CO-OWNER
Credential: D.C.
Phone: 517-699-0909