Organization
JOHR CHIROPRACTIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CHARLES JOHR D.C (OWNER)
(586) 774-6332
Entity
Organization
Contact information
Practice address
27200 HARPER AVE, SUITE B, SAINT CLAIR SHORES, MI 48081-1909
(586) 774-6332
(586) 774-5144
Mailing address
27200 HARPER AVE, SUITE B, SAINT CLAIR SHORES, MI 48081-1909
(586) 774-6332
(586) 774-5144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008444
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E01694
BLUE CROSS
MI
01
—
1750326005
INDIVIDUAL NPI
MI
Enumeration date
02/27/2007
Last updated
12/01/2010
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