Organization
ATLAS CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANN GAIL PARKER D.C. (OWNER CHIROPRACTOR)
(517) 663-7060
Entity
Organization
Contact information
Practice address
1322 S MAIN ST, EATON RAPIDS, MI 48827-1921
(517) 281-4566
(517) 663-7061
Mailing address
1322 S MAIN ST, EATON RAPIDS, MI 48827-1921
(517) 281-4566
(517) 663-7061
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
1093752644
MI
111N00000X
Chiropractor
Primary
1710924360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10006146
MCLAREN
MI
01
—
1006145
MCLAREN
MI
05
—
3356697
—
MI
01
—
950B350280
BLUE CROSS BLUE SHIELD
MI
01
—
950B350300
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/03/2016
Last updated
06/03/2016
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