Organization Name: | VAN BORN CHIROPRACTIC CLINIC, P.C. |
NPI Number: | 1821047861 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE S BOMIA (INSURANCE MANAGER) |
Mailing Address: | 23610 Van Born Rd Dearborn Heights |
State: | MI US |
Postal Code: | 481252356 |
Phone Number: | 3132911060 |
Fax Number: | 3132911089 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 06/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | ========= |
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. |