Healthcare Provider Details

I. General information

NPI: 1245295930
Provider Name (Legal Business Name): FRANCIS VINCENT ELWART DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2006
Last Update Date: 09/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25900 GREENFIELD RD SUITE 140
OAK PARK MI
48237-1292
US

IV. Provider business mailing address

5761 W MAPLE RD
WEST BLOOMFIELD MI
48322-4493
US

V. Phone/Fax

Practice location:
  • Phone: 248-352-5851
  • Fax: 248-352-5812
Mailing address:
  • Phone: 248-626-6892
  • Fax: 248-855-2477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008800
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: