Organization
HUDSON CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN RAY LAUT D.C. (CHIROPRACTOR)
(517) 448-8515
Entity
Organization
Contact information
Practice address
794 N MAPLE GROVE AVE, HUDSON, MI 49247-1148
(517) 448-8515
(517) 448-3044
Mailing address
PO BOX 31, HUDSON, MI 49247-0031
(517) 448-8515
(517) 448-3044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004913
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36362049700
WORKERS COMP
OH
05
—
4343700
—
MI
01
—
950D650020
BCBSM PROVIDER ID#
MI
01
—
SL004913
PRIVATE INS. PROVIDER ID#
MI
Enumeration date
02/27/2007
Last updated
02/10/2016
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