Healthcare Provider Details
I. General information
NPI: 1346662848
Provider Name (Legal Business Name): AMERICAN CHIROPRACTIC MEDICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/17/2014
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
621 CHARTIER STE B
MARINE CITY MI
48039-2350
US
IV. Provider business mailing address
621 CHARTIER SUITEB
MARINE CITY MI
48039-2350
US
V. Phone/Fax
- Phone: 900-000-0009
- Fax:
- Phone: 900-000-0009
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | MI |
VIII. Authorized Official
Name:
AAFERTI-ELRA
AMON
MORGAN
Title or Position: DOCTOR
Credential: D.C.
Phone: 900-000-0009