MEDICARE: DR. MARIE-CLAUDE ROY 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	111N00000X	Chiropractor	2301009207	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	95-OF31744-0	OTHER	MI	BCBS
2	5260086	OTHER	MI	AETNA
3	CH630035	OTHER	MI	M-CARE
4	95OF353830	OTHER	MI	BCN
5	123532	OTHER	MI	PREFERRED CHOICES
6	U-59113	OTHER	MI	HAP

General Provider Information

NPI Number	:	1861437394
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIE-CLAUDE ROY D.C.

Provider Business Mailing Address
First Line	:	115 E 3RD ST
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-2011
Country	:	US
Telephone Number	:	248-923-2428
Fax Number	:	248-656-6958

Provider Business Practice Location Address
First Line	:	115 E 3RD ST
Second Line	:
City	:	ROCHESTER
State	:	MI
Zip	:	48307-2011
Country	:	US
Telephone Number	:	248-923-2428
Fax Number	:	248-656-6958

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	11/30/2020

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