Organization
JEREMIAH M SHAFT DC PLLC
Active
Parent organization
JEREMIAH M SHAFT DC PLLC
Other names
True Health Chiropractic Livonia
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEREMIAH M SHAFT DC PLLC
Authorized official
DR. JEREMIAH MICHAEL SHAFT (PRESIDENT)
(248) 231-9650
Entity
Organization
Contact information
Practice address
28404 5 MILE RD, LIVONIA, MI 48154-3824
(734) 261-2121
Mailing address
PO BOX 74126, ROMULUS, MI 48174-0126
(734) 941-2211
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950H232540
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
01/24/2023
Last updated
01/24/2023
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