Provider Demographics
NPI:1528638996
Name:FIEL CLINIC CHIROPRACTIC CENTER P.C.
Entity type:Organization
Organization Name:FIEL CLINIC CHIROPRACTIC CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:REGGIE
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FIEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-347-4445
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-0479
Mailing Address - Country:US
Mailing Address - Phone:231-347-4445
Mailing Address - Fax:
Practice Address - Street 1:8983 M-119
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-4977
Practice Address - Country:US
Practice Address - Phone:231-347-4445
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-29
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty