Individual
DR. BRAD ALLEN DOUBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1211 WARREN AVE, JACKSON, MI 49203-3729
(517) 900-0555
(517) 990-0550
Mailing address
1211 WARREN AVE, JACKSON, MI 49203-3729
(517) 990-0555
(517) 990-0550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005774
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0D61058
BCBS
MI
Enumeration date
08/23/2006
Last updated
06/17/2022
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