Doctor Name: | DR. CRAIG MICHAEL HEINRICH |
NPI Number: | 1508911900 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC |
License Number: | 2301008677 |
Business Practice Address: | 2199 Jolly Rd Suite 140 Okemos, MI - 488643968 |
Business Phone Number: | 5173811880 |
Business Fax Number: | 5173811990 |
Mailing Address: | 61 Commerce Ave Sw, GRAND RAPIDS |
State: | MI |
Postal Code: | 495034124 |
Phone Number: | 6169400660 |
Fax Number: | 6169401965 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2301008677 |
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. |