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General NPI Number Information
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NPI Number | 1235452657
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Entity Type | Organization
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Legal Business Name | BAY AREA CHIROPRACTIC CENTER, INC
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Dates
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Enumeration Date | 03/12/2010
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Last Update Date | 04/07/2011
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Provider Practice Location Address
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Address Line | 3895 N EUCLID AVE SUITE B
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City | BAY CITY
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State | MI
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Zip | 48706-2069
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Country | US
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Telephone | 989-893-0631
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Fax |
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Provider Business Mailing Address
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Address Line | 3895 N EUCLID AVE SUITE B
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City | BAY CITY
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State | MI
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Zip | 48706-2069
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Country | US
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Telephone | 989-893-0631
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL JAY KAYNER
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Credential | D.C.
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Telephone | 989-893-0631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301006945
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License Number State | MI
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