Provider Demographics
NPI:1427114693
Name:ANDREWS FAMILY CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ANDREWS FAMILY CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DANA
Authorized Official - Middle Name:RAY
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:815-541-9686
Mailing Address - Street 1:PO BOX 523
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48158-0523
Mailing Address - Country:US
Mailing Address - Phone:734-428-0550
Mailing Address - Fax:734-428-0552
Practice Address - Street 1:102 S. CLINTON ST.
Practice Address - Street 2:SUITE 1
Practice Address - City:MANCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48158
Practice Address - Country:US
Practice Address - Phone:734-428-0550
Practice Address - Fax:734-428-0552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009287111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty