Healthcare Provider Details

I. General information

NPI: 1235096702
Provider Name (Legal Business Name): COMPLETE CHIRO AND WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17330 NORTHLAND PARK CT # 210B
SOUTHFIELD MI
48075-4318
US

IV. Provider business mailing address

17330 NORTHLAND PARK CT # 210B
SOUTHFIELD MI
48075-4318
US

V. Phone/Fax

Practice location:
  • Phone: 586-255-4343
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code111NR0200X
TaxonomyRadiology Chiropractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ZEINTH KHAN
Title or Position: CHIROPRACTOR/OWNER
Credential:
Phone: 586-255-4343