Organization
CHEBOYGAN CHIROPRACTIC CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUCILE M STROM BAVERS DC (PRESIDENT)
(231) 627-6161
Entity
Organization
Contact information
Practice address
230 BACKUS ST, CHEBOYGAN, MI 49721-1504
(231) 627-6161
(231) 627-2921
Mailing address
230 BACKUS ST, CHEBOYGAN, MI 49721-1504
(231) 627-6161
(231) 627-2921
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
LS007551
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1434382674
—
MI
01
—
950A660960
BLUE CROSS
MI
01
—
P95208
BLUE CARE NETWORK
MI
Enumeration date
01/24/2007
Last updated
05/01/2013
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