MEDICARE: LABER FAMILY CHIROPRACTIC CENTER PC

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	2301008410	MI

General Provider Information

NPI Number	:	1225217177
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LABER FAMILY CHIROPRACTIC CENTER PC

Provider Business Mailing Address
First Line	:	903 S LATSON RD
Second Line	:	SUITE 244
City	:	HOWELL
State	:	MI
Zip	:	48843-7595
Country	:	US
Telephone Number	:	517-546-1281
Fax Number	:	517-546-5003

Provider Business Practice Location Address
First Line	:	3473 E GRAND RIVER AVE
Second Line	:	SUITE A
City	:	HOWELL
State	:	MI
Zip	:	48843-4512
Country	:	US
Telephone Number	:	517-546-1281
Fax Number	:	517-546-5003

Authorized Official
Title or Position	:	PRESIDENT
Name	:	COREY JAMES LABER
Credential	:	D.C.
Telephone Number	:	517-546-1281

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	12/06/2007

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