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NPI Code Detail

MEDICARE: BAYSHORE FAMILY CHIROPRACTIC

MEDICARE: BAYSHORE FAMILY CHIROPRACTIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor2301010352MI

General Provider Information

NPI Number : 1033580956
Entity Type Code : Organization
Provider Name (Legal Business Name) : BAYSHORE FAMILY CHIROPRACTIC
Provider Business Mailing Address
First Line : 1948 N HURON RD
Second Line :
City : PINCONNING
State : MI
Zip : 48650-7909
Country : US
Telephone Number : 989-879-1038
Fax Number :
Provider Business Practice Location Address
First Line : 1948 N HURON RD
Second Line :
City : PINCONNING
State : MI
Zip : 48650-7909
Country : US
Telephone Number : 989-879-1038
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CARISSA LEIGH MEYERS
Credential : D.C.
Telephone Number : 989-879-1038
Provider Enumeration Date : 10/19/2015
Last Update Date : 10/19/2015

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Directions to “BAYSHORE FAMILY CHIROPRACTIC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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