Organization
GREATER NILES CHIROPRACTIC HEALTH CENTER INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY DAVID BOLTON D.C. (CHIROPRACTOR/PRESIDENT)
(269) 683-8151
Entity
Organization
Contact information
Practice address
2407 YANKEE ST, NILES, MI 49120-3955
(269) 683-8151
(269) 683-6112
Mailing address
2407 YANKEE ST, NILES, MI 49120-3955
(269) 683-8151
(269) 683-6112
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
23010006540
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2594620
—
MI
Enumeration date
02/24/2012
Last updated
07/11/2012
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