Organization
DCC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN THOMAS DAVIS D.C. (OWNER)
(517) 543-2920
Entity
Organization
Contact information
Practice address
432 N COCHRAN AVE, CHARLOTTE, MI 48813-1126
(517) 543-2920
(517) 543-1221
Mailing address
432 N COCHRAN AVE, CHARLOTTE, MI 48813-1126
(517) 543-2920
(517) 543-1221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007275
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1024457
MCLAREN
MI
01
—
200000008883
PHPMM
MI
05
—
5198793
—
MI
01
—
950B311390
BLUE CARE NETWORK
MI
01
—
DG8562
MEDICARE RAILROAD
—
Enumeration date
02/16/2007
Last updated
06/21/2018
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