Healthcare Provider Details
I. General information
NPI: 1407625437
Provider Name (Legal Business Name): ALFIERI FAMILY CHIROPRACTIC II PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/02/2024
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3484 BLUE STAR HWY
SAUGATUCK MI
49453-9400
US
IV. Provider business mailing address
PO BOX 1016
SAUGATUCK MI
49453-1016
US
V. Phone/Fax
- Phone: 269-857-1000
- Fax: 269-857-1000
- Phone: 269-857-1000
- Fax: 269-857-1000
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BETZI
MARIE
ALFIERI
Title or Position: OWNER
Credential: D.C.
Phone: 269-857-1000