Provider Demographics
NPI:1104948108
Name:DEBS, MICHAEL EDWARD (DC)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:EDWARD
Last Name:DEBS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:689 TAMIAMI TRL N
Mailing Address - Street 2:SUITE D
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-8100
Mailing Address - Country:US
Mailing Address - Phone:239-262-0606
Mailing Address - Fax:239-262-3482
Practice Address - Street 1:689 TAMIAMI TRL N
Practice Address - Street 2:SUITE D
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-8100
Practice Address - Country:US
Practice Address - Phone:239-262-0606
Practice Address - Fax:239-262-3482
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6525111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55155Medicare ID - Type Unspecified