| Organization Name: | NOVI CHIROPRACTIC CLINIC PC |
| NPI Number: | 1013178193 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PATRICIA CHELENYAK (OWNER) |
| Mailing Address: | 23975 Novi Rd Suite A-101 Novi |
| State: | MI US |
| Postal Code: | 483752459 |
| Phone Number: | 2483809444 |
| Fax Number: | 2483800236 |
| NPI Enumeration Date: | 06/20/2008 |
| NPI Last Update Date: | 08/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | 2301004674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |