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NPI Code Detail

MEDICARE: TROY HENRIE D.C.

MEDICARE: TROY HENRIE 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
1111N00000XChiropractor2301008503MI

General Provider Information

NPI Number : 1912933821
Entity Type Code : Individual
Provider Name (Legal Business Name) : TROY HENRIE D.C.
Provider Business Mailing Address
First Line : 1112 E BROOMFIELD ST
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-4437
Country : US
Telephone Number : 989-779-2225
Fax Number : 989-779-0106
Provider Business Practice Location Address
First Line : 1112 E BROOMFIELD ST
Second Line :
City : MT PLEASANT
State : MI
Zip : 48858-4437
Country : US
Telephone Number : 989-779-2225
Fax Number : 989-779-0106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2006
Last Update Date : 07/08/2007

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