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Organization

SOUTH HAVEN CHIROPRACTIC CLINIC

Active
Parent organization
AHAD E. LOTFI, DC., PLLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AHAD E. LOTFI, DC., PLLC
Authorized official
DR. AHAD E. LOTFI D.C. (OWNER/CHIROPRACTOR)
(269) 639-7200
Entity
Organization

Contact information

Practice address
1210 PHOENIX ST, SUITE 10, SOUTH HAVEN, MI 49090-7913
(269) 639-7200
(269) 621-2556
Mailing address
PO BOX 621, HARTFORD, MI 49057-0621
(269) 621-3800
(269) 621-2556

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301006100
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3427986
MI
Enumeration date
05/12/2008
Last updated
05/12/2008
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