Organization
COMMUNITY CHIROPRACTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T SAKALAUSKAS D.C. (SOLE MBR)
(734) 995-9777
Entity
Organization
Contact information
Practice address
548 S MAIN ST, ANN ARBOR, MI 48104-2921
(734) 995-9777
(734) 663-1255
Mailing address
548 S MAIN ST, ANN ARBOR, MI 48104-2921
(734) 995-9777
(734) 663-1255
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004556
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H11744
BCBSM
MI
01
—
0H118160
BCBSM
MI
Enumeration date
12/15/2008
Last updated
06/18/2009
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