Organization
LAKEVIEW FAMILY CHIROPRACTORS INC
Active
Other names
Tri County Family Chiropractors
Organization subpart
No
Provider details
NPI number
Authorized official
GARY R PADDEN D.C. (GROUP REPRESENTATIVE/OWNER)
(989) 352-8283
Entity
Organization
Contact information
Practice address
960 S LINCOLN AVE, LAKEVIEW, MI 48850-9178
(989) 352-8283
(989) 352-5723
Mailing address
PO BOX 649, LAKEVIEW, MI 48850-0649
(989) 352-8283
(989) 352-5723
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145187225
—
MI
05
—
145187243
—
MI
05
—
145187252
—
MI
05
—
1922191048
—
MI
01
—
950E910550
BCBSM GROUP ID
MI
Enumeration date
10/02/2006
Last updated
01/08/2014
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