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General NPI Number Information
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NPI Number | 1689418196
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Entity Type | Organization
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Legal Business Name | CORE HEALTH CHIROPRACTIC & REHAB PLLC
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Dates
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Enumeration Date | 06/20/2024
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 17070 W 12 MILE RD STE B
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2116
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Country | US
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Telephone | 248-327-7150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7175
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City | DEARBORN
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State | MI
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Zip | 48121-7175
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Country | US
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Telephone | 313-790-3998
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HAROUN FETTEH
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Credential | DC
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Telephone | 313-790-3998
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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 |
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License Number State |
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