Organization
EDMORE CHIROPRACTIC CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KENNETH LEE D.C. (OWNER/OPERATOR)
(989) 427-5551
Entity
Organization
Contact information
Practice address
215 W HOWARD CITY EDMORE RD, EDMORE, MI 48829-9779
(989) 427-5551
(989) 427-3102
Mailing address
215 W HOWARD CITY EDMORE RD, EDMORE, MI 48829-9779
(989) 427-5551
(989) 427-3102
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006849
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E95013
BLUE CROSS PROVIDER I.D.
MI
Enumeration date
07/28/2006
Last updated
07/22/2008
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