MEDICARE: DR. STACEY JEANNE FRANCIS D.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	111NN1001X	Nutrition Chiropractor	2301005996	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	38-3476976	OTHER	MI	FEDERAL ID NUMBER

General Provider Information

NPI Number	:	1487727178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STACEY JEANNE FRANCIS D.C.

Provider Business Mailing Address
First Line	:	6905 TELEGRAPH RD
Second Line	:	SUITE 119
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3158
Country	:	US
Telephone Number	:	248-213-1332
Fax Number	:	248-213-1332

Provider Business Practice Location Address
First Line	:	6905 TELEGRAPH RD
Second Line	:	SUITE 119
City	:	BLOOMFIELD HILLS
State	:	MI
Zip	:	48301-3158
Country	:	US
Telephone Number	:	248-213-1332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	07/29/2024

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