Individual
DR. TERRY ALBERT VIVIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
28182 SCHOOLCRAFT RD, LIVONIA, MI 48150-2205
(734) 513-0140
(734) 513-0141
Mailing address
28182 SCHOOLCRAFT RD, LIVONIA, MI 48150-2205
(734) 513-0140
(734) 513-0141
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005734
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203239701
TAX ID
MI
01
—
2301005734
STATE LICENSE NUMBER
MI
01
—
950EO53150
BLUE CROSS PROVIDER ID
MI
Enumeration date
04/04/2007
Last updated
02/23/2016
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