Organization
SPINE BY DESIGN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J WHITE D.C. (OWNER)
(231) 972-1144
Entity
Organization
Contact information
Practice address
10032 BUCHANAN RD, STANWOOD, MI 49346
(231) 972-1144
(888) 965-4351
Mailing address
10032 BUCHANAN RD, STANWOOD, MI 49346
(231) 972-1144
(888) 965-4351
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009783
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11493612
CAQH ID
—
01
—
1174728315
NPI
—
01
—
2301009783
MICHIGAN CHIROPRACTIC LICENSE
MI
01
—
MI9379
MEDICARE ID
MI
Enumeration date
05/10/2016
Last updated
05/10/2016
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