Organization
LEEDLE CHIROPRACTIC CLINIC P C
Active
Organization
LEEDLE CHIROPRACTIC CLINIC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES D. LEEDLE D.C. (PRESIDENT)
(810) 632-7700
Entity
Organization
Contact information
Practice address
11460 HIGHLAND RD, HARTLAND, MI 48353-2736
(810) 632-7700
(810) 632-9770
Mailing address
11460 HIGHLAND RD, HARTLAND, MI 48353-2736
(810) 632-7700
(810) 632-9770
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
095579
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123473
CARE CHOICES ID #
MI
05
—
290825
—
MI
01
—
T33187
BC BS UPIN
MI
Enumeration date
07/23/2007
Last updated
07/23/2007
Update your record
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