1033623533 NPI number — CARLS CHIROPRACTIC HEALTH CENTER

Table of content: DANIELLE ARONER RN, IBCLC (NPI 1588494595)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033623533 NPI number — CARLS CHIROPRACTIC HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARLS CHIROPRACTIC HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033623533
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/21/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
952 VASSAR DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KALAMAZOO
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49001-4436
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
269-344-7946
Provider Business Mailing Address Fax Number:
269-344-6196

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
952 VASSAR DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KALAMAZOO
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49001-4436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
269-344-7946
Provider Business Practice Location Address Fax Number:
269-344-6196
Provider Enumeration Date:
11/21/2017

Additional Information

Authorized Official

Authorized Official Last Name:
CARLS
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
C
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
269-344-7946

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  JC002732 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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