Organization
NORTHCARE CHIROPRACTIC HEALTH CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERI LORENCEN STOCKWELL D.C. (OWNER)
(231) 933-0100
Entity
Organization
Contact information
Practice address
2781 GARFIELD RD N, TRAVERSE CITY, MI 49686-5003
(231) 933-0100
(231) 946-1951
Mailing address
2781 GARFIELD RD N, TRAVERSE CITY, MI 49686-5003
(231) 933-0100
(231) 946-1951
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3144040
—
MI
01
—
950B810180
BCBS GROUP PROVIDER ID
MI
01
—
G05544
BCN GROUP #
MI
Enumeration date
07/15/2005
Last updated
10/07/2010
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