Individual
DR. CAROL ELIZABETH KHAZNEHKATBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S., D.C.
Contact information
Practice address
122 NEW ST, MOUNT CLEMENS, MI 48043-5623
(586) 468-5381
(586) 468-9915
Mailing address
122 NEW ST, MOUNT CLEMENS, MI 48043-5623
(586) 468-5381
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2301008891
MI
111N00000X
Chiropractor
Primary
8891
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
950E016390
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/13/2005
Last updated
01/28/2020
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