MEDICARE: MICHIGAN CHIROPRACTIC SPECIALISTS OF WEST BLOOMFIELD, P.C.

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
1	111N00000X	Chiropractor	2301008114	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1306942982	OTHER		NPI

General Provider Information

NPI Number	:	1215432711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHIGAN CHIROPRACTIC SPECIALISTS OF WEST BLOOMFIELD, P.C.

Provider Business Mailing Address
First Line	:	5656 PEMBROOKE XING
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-1792
Country	:	US
Telephone Number	:	248-563-8771
Fax Number	:

Provider Business Practice Location Address
First Line	:	6736 ORCHARD LAKE RD STE A
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48322-4582
Country	:	US
Telephone Number	:	248-563-8771
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADAM APFELBLAT
Credential	:	DC
Telephone Number	:	248-563-8771

Provider Enumeration Date	:	03/27/2018
Last Update Date	:	03/27/2018

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