Doctor Name: | TONY G. ABOUDIB |
NPI Number: | 1043373343 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | DC4634 |
Business Practice Address: | 2000 Chartwell Dr. #2 Traverse City, MI - 49686 |
Business Phone Number: | 2314215213 |
Business Fax Number: | 2314215215 |
Mailing Address: | 2000 Chartwell Dr., #2 TRAVERSE CITY |
State: | MI |
Postal Code: | 49686 |
Phone Number: | 2314215213 |
Fax Number: | 2314215215 |
NPI Enumeration Date: | 12/18/2006 |
NPI Last Update Date: | 02/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC4634 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |