Provider Demographics
NPI:1871311399
Name:GENTLE TOUCH CHIROPRACTOR LLC
Entity type:Organization
Organization Name:GENTLE TOUCH CHIROPRACTOR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-886-4560
Mailing Address - Street 1:28051 DEQUINDRE RD STE F
Mailing Address - Street 2:
Mailing Address - City:MADISON HTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-3016
Mailing Address - Country:US
Mailing Address - Phone:248-886-4560
Mailing Address - Fax:248-886-4650
Practice Address - Street 1:28051 DEQUINDRE RD STE F
Practice Address - Street 2:
Practice Address - City:MADISON HTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3016
Practice Address - Country:US
Practice Address - Phone:248-886-4560
Practice Address - Fax:248-886-4650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty