Provider Demographics
NPI:1912747619
Name:CF CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:CF CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:FARDELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-260-9080
Mailing Address - Street 1:309 FAIRBANKS ST
Mailing Address - Street 2:
Mailing Address - City:ELK RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49629-9751
Mailing Address - Country:US
Mailing Address - Phone:231-260-9080
Mailing Address - Fax:717-313-4388
Practice Address - Street 1:125 AMES ST
Practice Address - Street 2:
Practice Address - City:ELK RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49629-8302
Practice Address - Country:US
Practice Address - Phone:231-260-9080
Practice Address - Fax:717-313-4388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1578798492OtherNPI