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NPI Code Detail

MEDICARE: DR. MICHAEL PATRICK MCPHARLIN D.C., B.S.N.

MEDICARE: DR. MICHAEL PATRICK MCPHARLIN D.C., B.S.N.
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
1111N00000XChiropractor2301009785MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OG40128OTHERMIBCBS MICHIGAN
2772167OTHERMIUNITED HEALTHCARE - OPTUMHEALTH CARE SOLUTIONS
3382040767OTHERMICOFINITY - AETNA

General Provider Information

NPI Number : 1639476427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL PATRICK MCPHARLIN D.C., B.S.N.
Provider Business Mailing Address
First Line : 1025 HURON AVE
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3763
Country : US
Telephone Number : 810-294-5678
Fax Number : 810-294-5677
Provider Business Practice Location Address
First Line : 1025 HURON AVE
Second Line :
City : PORT HURON
State : MI
Zip : 48060-3763
Country : US
Telephone Number : 810-294-5678
Fax Number : 810-294-5677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2011
Last Update Date : 05/08/2017

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