Organization Name: | SUPERIOR FAMILY CHIROPRACTIC AND WELLNESS CENTER |
NPI Number: | 1346381597 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL S OSBORNE (OWNER) |
Mailing Address: | 1301 Odovero Dr Marquette |
State: | MI US |
Postal Code: | 498555505 |
Phone Number: | 9062282600 |
Fax Number: | 9062283878 |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 02/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 05/28/2008 |
NPI Reactivation Date: | 06/10/2010 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | M0007343 |
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. |