Provider Demographics
NPI:1235337015
Name:HEALTH SPRINGS CHIROPRACTIC PC
Entity type:Organization
Organization Name:HEALTH SPRINGS CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:IKWUAGWU
Authorized Official - Last Name:IKWECHEGH
Authorized Official - Suffix:
Authorized Official - Credentials:BSC, BS, DC
Authorized Official - Phone:313-272-1777
Mailing Address - Street 1:PO BOX 3591
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48037-3591
Mailing Address - Country:US
Mailing Address - Phone:313-272-1777
Mailing Address - Fax:
Practice Address - Street 1:15800 W MCNICHOLS RD
Practice Address - Street 2:SUITE 220
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-3566
Practice Address - Country:US
Practice Address - Phone:313-272-1777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008739111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0P52660Medicare PIN