Organization
BACK IN LINE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED SALEH D.C. (OWNER)
(313) 768-8858
Entity
Organization
Contact information
Practice address
712 E. 9 MILE RD, HAZEL PARK, MI 48030
(248) 556-5890
(248) 556-5891
Mailing address
PO BOX 365, HAZEL PARK, MI 48030-0365
(313) 768-8858
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008526
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0P37990
BCBS
MI
05
—
14493280
—
MI
01
—
1760598171
OUAIS NPI
MI
Enumeration date
11/21/2006
Last updated
08/15/2013
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