Provider Demographics
NPI:1699173401
Name:RH LIVE WELL CHIROPRACTIC
Entity type:Organization
Organization Name:RH LIVE WELL CHIROPRACTIC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MEAGHAN
Authorized Official - Middle Name:N
Authorized Official - Last Name:CROMER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-543-3200
Mailing Address - Street 1:455 BARCLAY CIR
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-4774
Mailing Address - Country:US
Mailing Address - Phone:248-543-3200
Mailing Address - Fax:248-543-5455
Practice Address - Street 1:710 W 11 MILE RD
Practice Address - Street 2:
Practice Address - City:ROYAL OAK
Practice Address - State:MI
Practice Address - Zip Code:48067-2411
Practice Address - Country:US
Practice Address - Phone:248-543-3200
Practice Address - Fax:248-543-5455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty