DOWNRIVER INDUSTRIAL CLINIC PC (NPI# 1023124120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023124120 |
Entity Type | Organization |
Organization Name | DOWNRIVER INDUSTRIAL CLINIC PC |
Practice Address |
4005 W Jefferson Avenue Ecorse MI 48229 |
Practice Telephone | 3133824288 |
Mailing Telephone | 3133824288 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2010-01-14 |
Authorized Official Name | DR. ALLAN M HOFF (PRESIDENT) |
Authorized Official Telephone | 3133824288 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | AH002423 | MI | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | BLUE CARE NETWORK | P25752F | 01 |
MI | 4347487-14 | 05 |
Street Address |
4005 W JEFFERSON AVENUE |
City | ECORSE |
State | MI |
Zip Code | 48229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588107171 | Devoted Transportation Inc. | Non-emergency Medical Transport (VAN) | 3865 W Jefferson Ave, Ecorse, MI 48229 | 2016-11-30 |
1093187577 | Orchard Afc | Custodial Care Facility | 73 Orchard Street, Ecorse, MI 48229 | 2015-10-23 |
1780060434 | Jason John Hawkins | Home Health Aide | 18 E Glenwood, Ecorse, MI 48229 | 2015-08-05 |
1871866475 | Positive Images | Substance Abuse Rehabilitation Facility | 13336 E.warren, Detroit, MI 48229 | 2012-02-14 |
1508964255 | Dean's Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4328 7th Street, 4329 7th Street, Ecorse, MI 48229 | 2006-09-20 |
1780021147 | Susan Ann Barnes | Registered Nurse | 4488 1st St, Ecorse, MI 48229-1027 | 2013-05-25 |
1033267265 | Christine Anne Miller | Specialist/Technologist | 4267 6th St, Ecorse, MI 48229-1109 | 2007-01-05 |
1417476151 | Jacquelyn Clemons | Student in an Organized Health Care Education/Training Program | 4300 6th St, Ecorse, MI 48229-1110 | 2017-09-13 |
1770070872 | Tiffany Sparks | Licensed Practical Nurse | 4170 16th St, Ecorse, MI 48229-1239 | 2018-04-16 |
1487180980 | Nolan Grey Home Care Agency and Resource Center | In Home Supportive Care | 4119 19th St, Ecorse, MI 48229-1244 | 2017-05-04 |
Find all providers in zip 48229 |
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 |
---|---|---|---|---|
1114968146 | Allan M Hoff | Chiropractor | 4005 W Jefferson Ave, Ecorse, MI 48229-1731 | 2006-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548860240 | Moriah K Severance | Chiropractor | 2449 W Kimmel Rd, Jackson, MI 49201-9783 | 2020-10-30 |
1760082465 | David Scott Severance | Chiropractor | 11720 Tompkins Rd, Rives Junction, MI 49277-9629 | 2020-10-30 |
1760082705 | Kelly Chiropractic Clinic, LLC | Chiropractor | 3179 12 Mile Rd, Berkley, MI 48072-1339 | 2020-10-29 |
1619584273 | Sydnee Laree Rutledge | Chiropractor | 3634 Mccain Rd Ste 7, Jackson, MI 49203-2576 | 2020-09-28 |
1790391860 | Ferras Dassouki | Chiropractor | 1126 Hunter Ct, Milford, MI 48381-3180 | 2020-09-23 |
1811503972 | Nicholas Heiserman | Chiropractor | 498 E Monroe St, Dundee, MI 48131-1321 | 2020-09-23 |
1114532835 | Pro-active Chiropractic Wellness of Grand Rapids | Chiropractor | 4270 Plainfield Ave Ne # E, Grand Rapids, MI 49525-1603 | 2020-09-10 |
1215540463 | Lake State Chiropractic Pllc | Chiropractor | 2155 84th St Sw Ste 4, Byron Center, MI 49315-8259 | 2020-08-27 |
1609488402 | Primrose Family Chiropractic and Wellness Center | Chiropractor | 25900 Greenfield Rd Suite 252, Oak Park, MI 48237-1297 | 2020-08-21 |
1780295063 | Wilhelm Family Chiropractic and Massage Pllc | Chiropractor | 23200 Pontiac Trl, South Lyon, MI 48178-1983 | 2020-08-11 |
Find all providers with the same taxonomy |
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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.