Provider Demographics
NPI:1285915835
Name:PURE CHIROPRACTIC
Entity type:Organization
Organization Name:PURE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:R
Authorized Official - Last Name:HOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-588-4036
Mailing Address - Street 1:4914 CHILSON RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843-9453
Mailing Address - Country:US
Mailing Address - Phone:810-588-4036
Mailing Address - Fax:810-588-4379
Practice Address - Street 1:4914 CHILSON RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843-9453
Practice Address - Country:US
Practice Address - Phone:810-588-4036
Practice Address - Fax:810-588-4379
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-08
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009840111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty