Organization
JEFFERY SCOTT CARPENTER, D.C., P.L.L.C.
Active
Other names
Carpenter Chiropractic & Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA NIEMAN (RECEPTIONIST/BILLING)
(810) 966-1600
Entity
Organization
Contact information
Practice address
1530 PINE GROVE AVE, SUITE 2, PORT HURON, MI 48060-3370
(810) 966-1600
(810) 966-1601
Mailing address
1530 PINE GROVE AVE, SUITE 2, PORT HURON, MI 48060-3370
(810) 966-1600
(810) 966-1601
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301008269
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4330935
—
MI
Enumeration date
03/23/2009
Last updated
05/06/2009
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