Provider Demographics
NPI:1194775668
Name:GIROUX, MICHELLE (DC)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:GIROUX
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9250 CORKSCREW RD STE 4
Mailing Address - Street 2:
Mailing Address - City:ESTERO
Mailing Address - State:FL
Mailing Address - Zip Code:33928-3216
Mailing Address - Country:US
Mailing Address - Phone:239-495-1166
Mailing Address - Fax:239-495-0116
Practice Address - Street 1:9250 CORKSCREW RD STE 4
Practice Address - Street 2:
Practice Address - City:ESTERO
Practice Address - State:FL
Practice Address - Zip Code:33928-3216
Practice Address - Country:US
Practice Address - Phone:239-495-1166
Practice Address - Fax:239-495-0116
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 9090111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL382138200Medicaid
FL382138200Medicaid