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General NPI Number Information
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NPI Number | 1538227988
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Entity Type | Organization
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Legal Business Name | GREER CHIROPRACTIC LIFE CENTER P. L.L.C.
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 09/12/2014
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Provider Practice Location Address
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Address Line | 470 FOREST AVE STE 19
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City | PLYMOUTH
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State | MI
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Zip | 48170-1739
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Country | US
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Telephone | 734-451-9700
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Fax | 734-451-9723
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Provider Business Mailing Address
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Address Line | 470 FOREST AVE STE 19
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City | PLYMOUTH
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State | MI
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Zip | 48170-1739
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Country | US
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Telephone | 734-451-9700
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Fax | 734-451-9723
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | DR. JEFFREY WAYNE GREER
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Credential | D.C.
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Telephone | 734-451-9700
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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 | 2301005192
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License Number State | MI
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