Healthcare Provider Details

I. General information

NPI: 1770080863
Provider Name (Legal Business Name): ACTIVE CHIROPRACTIC PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2018
Last Update Date: 04/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 N ANN ARBOR ST STE C
SALINE MI
48176-1196
US

IV. Provider business mailing address

401 N ANN ARBOR ST STE C
SALINE MI
48176-1196
US

V. Phone/Fax

Practice location:
  • Phone: 734-787-5295
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. SHEILA HEFFRON-MCGREAL
Title or Position: OWNER
Credential: DC
Phone: 734-787-5295