Organization
CHIROPRACTIC 4 LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN LAINE DC (PRESIDENT)
(917) 803-3818
Entity
Organization
Contact information
Practice address
17526 W 7 MILE RD, DETROIT, MI 48235-3045
(313) 889-1625
Mailing address
17526 W 7 MILE RD, DETROIT, MI 48235-3045
(313) 889-1625
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NI0900X
Internist Chiropractor
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
12/23/2024
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