Organization
DCDRS ENTERPRISES, INC.
Active
Other names
Dr. Dave's Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ALLEN HAATAJA D.C. (PRESIDENT/CHIROPRACTOR)
(989) 400-2090
Entity
Organization
Contact information
Practice address
201 E 17TH ST, TRAVERSE CITY, MI 49684-4173
(989) 400-2090
Mailing address
PO BOX 603, TRAVERSE CITY, MI 49685-0603
(989) 400-2090
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007712
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0N88070
MEDICARE GROUP #
MI
01
—
1710173976
GROUP NPI
MI
01
—
950A800220
BCBS GROUP PIN
MI
01
—
N88070001
MEDICARE INDIVIDUAL ID #
MI
Enumeration date
09/21/2007
Last updated
05/15/2013
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