MEDICARE: CATHERINE FRATTINI CHIROPRACTIC SERVICES -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	2301009878	MI

General Provider Information

NPI Number	:	1912317785
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHERINE FRATTINI CHIROPRACTIC SERVICES -PC

Provider Business Mailing Address
First Line	:	22701 GREATER MACK AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-2007
Country	:	US
Telephone Number	:	586-777-6056
Fax Number	:

Provider Business Practice Location Address
First Line	:	22701 GREATER MACK AVE
Second Line	:
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48080-2007
Country	:	US
Telephone Number	:	586-777-6056
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MRS. CARLA MARGARET HOYLOCK
Credential	:
Telephone Number	:	586-777-6056

Provider Enumeration Date	:	05/02/2014
Last Update Date	:	05/02/2014

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