Provider Demographics
NPI:1427858729
Name:BLOOMFIELD CHIROPRACTIC CENTER PLLC
Entity type:Organization
Organization Name:BLOOMFIELD CHIROPRACTIC CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-262-8052
Mailing Address - Street 1:42160 WOODWARD AVE UNIT 64
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48304-5160
Mailing Address - Country:US
Mailing Address - Phone:517-262-8052
Mailing Address - Fax:248-626-3455
Practice Address - Street 1:6250 ORCHARD LAKE RD STE A
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322-2321
Practice Address - Country:US
Practice Address - Phone:248-626-3030
Practice Address - Fax:248-626-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1801391271OtherTYPE 1 NPI FROM NPPES