Healthcare Provider Details
I. General information
NPI: 1760422455
Provider Name (Legal Business Name): TOUPIN CHIROPRACTIC CLINICS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4556 SALLING AVE
LEWISTON MI
49756-7852
US
IV. Provider business mailing address
PO BOX 889
LEWISTON MI
49756-0889
US
V. Phone/Fax
- Phone: 989-786-5288
- Fax: 989-786-7349
- Phone: 989-786-5288
- Fax: 989-786-7349
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:
SUZANNE
J
TOUPIN
Title or Position: OWNER/PRESIDENT
Credential: D.C.
Phone: 989-786-5288