Organization Name: | DEFLORES CHIROPRACTIC CLINICS PC |
NPI Number: | 1336269190 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AARON K BLOSSOM (PRESIDENT) |
Mailing Address: | 5065 Miller Rd Flint |
State: | MI US |
Postal Code: | 485071037 |
Phone Number: | 8107326780 |
Fax Number: | 8107337246 |
NPI Enumeration Date: | 03/29/2007 |
NPI Last Update Date: | 12/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 12/28/2007 |
NPI Reactivation Date: | 01/30/2008 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301002227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
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. |