Healthcare Provider Details

I. General information

NPI: 1831570530
Provider Name (Legal Business Name): ZYROWSKI ENTERPRISES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/18/2015
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 21 MILE RD
MACOMB MI
48044-5024
US

IV. Provider business mailing address

15300 21 MILE RD
MACOMB MI
48044-5024
US

V. Phone/Fax

Practice location:
  • Phone: 586-263-1376
  • Fax:
Mailing address:
  • Phone: 586-263-1376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301010267
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS ZYROWSKI
Title or Position: OWNER
Credential: D.C.
Phone: 586-263-1376