Healthcare Provider Details

I. General information

NPI: 1598900284
Provider Name (Legal Business Name): CAWOOD CHIROPRACTIC CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2008
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 STEWART RD
MONROE MI
48162
US

IV. Provider business mailing address

303 STEWART RD
MONROE MI
48162
US

V. Phone/Fax

Practice location:
  • Phone: 734-243-5411
  • Fax:
Mailing address:
  • Phone: 734-243-5411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301009204
License Number StateMI

VIII. Authorized Official

Name: DR. MATTHEW PAUL CAWOOD
Title or Position: OWNER
Credential: D.C.
Phone: 734-243-5411