LAZAR BERKOVICH (NPI# 1013935873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013935873 |
| Entity Type | Individual |
| Full Name | LAZAR BERKOVICH |
| Practice Address |
30500 Northwestern Hwy Ste 316b Farmington Hills MI 48334-3159 |
| Practice Telephone | 2482586842 |
| Mailing Telephone | 2482586842 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | LB008193 | MI | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | AETNA | 2436327 | 01 |
| MI | 4237430 | 05 |
| Street Address |
30500 NORTHWESTERN HWY STE 316B |
| City | FARMINGTON HILLS |
| State | MI |
| Zip Code | 48334-3159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790792364 | Southfield Alternative Care Clinic | Chiropractor | 30500 Northwestern Hwy Ste 316b, Farmington Hills, MI 48334-3159 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264535 | Kiah Bradley | Behavior Technician | 2777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1417557307 | Carsen D Dresbach | Behavior Technician | 2777 Inster Road Suite 100, Farmington Hills, MI 48334 | 2020-10-29 |
| 1316560303 | Amy K Pruneau LLC | Psychologist | 26755 Middlebelt Rd Ste 140, Farmington Hills, MI 48334 | 2020-05-25 |
| 1366089732 | Vian Aljony | Dental Hygienist | 27273 Arden Park Cir, Farmington Hills, MI 48334 | 2019-12-04 |
| 1699311902 | Sandra Zori | Pharmacist | 27800 Middlebelt Rd, Farmington Hills, MI 48334 | 2019-11-21 |
| 1902450471 | Kianna Marie Garcia | Behavior Technician | 27777 Inkster Rd., Farmington Hills, MI 48334 | 2019-08-01 |
| 1619521176 | Samantha Serra | Behavior Technician | 27777 Inkster Rd Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1851945398 | Kristen Butler | Behavior Technician | 27777 Inkster Road Suite 100, Farmington Hills, MI 48334 | 2019-08-01 |
| 1104489038 | Katherine Kalsow | Behavioral Analyst | 27777 Inkster Rd. Suite 100, Farmington Hills, MI 48334 | 2019-04-16 |
| 1083178487 | Imee Raterta | Physical Therapist | Ability Works Rehab, 28592 Orchard Lake Rd # 300, Farmington Hills, MI 48334 | 2019-01-30 |
| Find all providers in zip 48334 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881240042 | Richard Levine | Chiropractor | 31390 Northwestern Hwy Ste C, Farmington Hills, MI 48334-2561 | 2019-08-14 |
| 1760749238 | Tutak Chiropractic Clinic PC | Chiropractor | 22221 Indian Creek Dr, Farmington Hills, MI 48335-5546 | 2012-04-20 |
| 1316219967 | Alliance Chiropractic Pllc | Chiropractor | 29930 W 12 Mile Rd Ste 3, Farmington Hills, MI 48334-3983 | 2012-01-28 |
| 1700168960 | Sarah Beth Prater-manor | Chiropractor | 24907 Arden Park Dr, Farmington Hills, MI 48336-2213 | 2011-09-14 |
| 1982856332 | Dickens Family Chiropractic Pllc | Chiropractor | 27690 Middlebelt Rd, Farmington Hills, MI 48334-5001 | 2008-10-16 |
| 1346407764 | Dimitriou Chiropractic Center LLC | Chiropractor | 38431 Grand River Ave, Farmington Hills, MI 48335-1517 | 2008-05-22 |
| 1023205093 | Orchard Lake Chiropractic Inc | Chiropractor | 28511 Orchard Lake Rd Ste C, Farmington Hills, MI 48334-2933 | 2007-10-03 |
| 1770703373 | John Nikolas Dimitriou | Chiropractor | 38431 Grand River Ave., Farmington Hills, MI 48335 | 2007-04-26 |
| 1699819144 | Phillip Frank Carlini | Chiropractor | 29930 W 12 Mile Rd, Suite 3, Farmington Hills, MI 48334-3983 | 2007-02-17 |
| 1083757785 | Philip Thomas Mccarty | Chiropractor | 31170 Haggerty Rd, Farmington Hills, MI 48331-5804 | 2007-02-14 |
| Find all providers in FARMINGTON HILLS | ||||
| City | FARMINGTON HILLS |
| Zip Code | 48334 |
Please comment or provide details below to improve the information on LAZAR BERKOVICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.