Provider Demographics
NPI:1457766321
Name:CHRISTOPHER BRIOC DC PLLC
Entity type:Organization
Organization Name:CHRISTOPHER BRIOC DC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:MICHAEL-RAY
Authorized Official - Last Name:BRIOC
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:586-792-1800
Mailing Address - Street 1:36620 GARFIELD RD
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48035-1134
Mailing Address - Country:US
Mailing Address - Phone:586-792-1800
Mailing Address - Fax:586-792-0612
Practice Address - Street 1:36620 GARFIELD RD
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48035-1134
Practice Address - Country:US
Practice Address - Phone:586-792-1800
Practice Address - Fax:586-792-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010103111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty