Healthcare Provider Details

I. General information

NPI: 1568523934
Provider Name (Legal Business Name): PINCONNING AREA CHIROPRACTIC CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 10/01/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1948 N HURON RD
PINCONNING MI
48650-7909
US

IV. Provider business mailing address

PO BOX 706 1948 N HURON RD
PINCONNING MI
48650-7909
US

V. Phone/Fax

Practice location:
  • Phone: 989-879-8133
  • Fax:
Mailing address:
  • Phone: 989-879-8133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301008083
License Number StateMI

VIII. Authorized Official

Name: MR. THOMAS JOSEPH TROMBLEY
Title or Position: DOCTOR
Credential: DC
Phone: 989-879-8133