Organization
CHADWELL CHIROPRACTIC OF MIDLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP LANGE CHADWELL DC (OWNER MEMBER)
(989) 832-3066
Entity
Organization
Contact information
Practice address
5103 EASTMAN AVE, SUITE 140, MIDLAND, MI 48640-6785
(989) 832-3066
(989) 832-3066
Mailing address
5103 EASTMAN AVE, SUITE 140, MIDLAND, MI 48640-6785
(989) 832-3066
(989) 832-3066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007008
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083544
—
MI
01
—
950E61188
BCBSM
MI
01
—
P97364
BLUE CARE NETWORK
MI
Enumeration date
11/08/2007
Last updated
10/29/2010
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