Organization
BENJAMIN CHIROPRACTIC & FUNCTIONAL NUTRITION CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY BENJAMIN D.C. (OWNER / CEO)
(517) 223-9900
Entity
Organization
Contact information
Practice address
114 SOUTH SECOND STREET, FOWLERVILLE, MI 48836-0289
(517) 223-9900
(517) 223-9900
Mailing address
POB 289, 114 SOUTH SECOND STREET, FOWLERVILLE, MI 48836-0289
(517) 223-9900
(517) 223-9900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005319
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2301005319
STATE OF MICHIGAN CHIROPRACTIC LICENSE
MI
Enumeration date
11/14/2013
Last updated
11/14/2013
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