Organization
SPECIALIZED FAMILY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN T OSTERHOUT DC (OWNER)
(269) 324-4143
Entity
Organization
Contact information
Practice address
8150 MOORSBRIDGE RD, SUITE B, PORTAGE, MI 49024
(269) 323-4473
(269) 324-0755
Mailing address
8150 MOORSBRIDGE RD, SUITE B, PORTAGE, MI 49024
(269) 324-4143
(269) 324-0755
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
111NN1001X
Nutrition Chiropractor
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C91557
BCBS
MI
Enumeration date
06/11/2008
Last updated
09/21/2012
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