Organization
OTISVILLE CHIROPRACTIC CENTER PC
Active
Parent organization
OTISVILLE CHIROPRACTIC CENTER PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
OTISVILLE CHIROPRACTIC CENTER PC
Authorized official
DR. VIRGIL BROWN LOVE D.C. (DOCTOR)
(810) 767-6221
Entity
Organization
Contact information
Practice address
3413 CORUNNA RD, FLINT, MI 48503-3265
(810) 767-6221
(810) 767-4429
Mailing address
3413 CORUNNA RD, FLINT, MI 48503-3265
(810) 767-6221
(810) 767-4429
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
23010002905
MI
111N00000X
Chiropractor
231002905
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
231002905
STATE LICENSE NUMBER
MI
01
—
950B512120
BLUE CROSS
MI
Enumeration date
06/25/2007
Last updated
11/11/2009
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