Provider Demographics
| NPI: | 1245481449 |
|---|---|
| Name: | ACHIEVING HEALTH CHIROPRACTIC PLUS PC |
| Entity type: | Organization |
| Organization Name: | ACHIEVING HEALTH CHIROPRACTIC PLUS PC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | DOUG |
| Authorized Official - Middle Name: | JOHN |
| Authorized Official - Last Name: | OBRYAN |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | DC |
| Authorized Official - Phone: | 734-420-3434 |
| Mailing Address - Street 1: | 40020 FIVE MILE RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | PLYMOUTH |
| Mailing Address - State: | MI |
| Mailing Address - Zip Code: | 48170-2764 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 734-420-3434 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 40020 FIVE MILE RD |
| Practice Address - Street 2: | |
| Practice Address - City: | PLYMOUTH |
| Practice Address - State: | MI |
| Practice Address - Zip Code: | 48170-2764 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 734-420-3434 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-10-06 |
| Last Update Date: | 2014-04-08 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| MI | 2301009048 | 111N00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 111N00000X | Chiropractic Providers | Chiropractor | Group - Multi-Specialty |