Organization
ELEMENTS CHIROPRACTIC CLINIC, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT ANDREW MYERS DC (PRESIDENT)
(269) 381-2200
Entity
Organization
Contact information
Practice address
2225 E CENTRE AVE, PORTAGE, MI 49002-4421
(269) 381-2200
(269) 381-4233
Mailing address
1125 E MILHAM AVE, SUITE B, PORTAGE, MI 49002-3096
(269) 381-2200
(269) 381-4233
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558360867
TYPE 1 NPI
MI
Enumeration date
02/15/2010
Last updated
09/17/2018
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