Provider Demographics
NPI:1902669146
Name:ADJUST CHIROPRACTIC CENTER, LLC
Entity Type:Organization
Organization Name:ADJUST CHIROPRACTIC CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-470-9222
Mailing Address - Street 1:1221 BOWERS ST UNIT 2043
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:MI
Mailing Address - Zip Code:48012-7080
Mailing Address - Country:US
Mailing Address - Phone:813-470-9222
Mailing Address - Fax:
Practice Address - Street 1:17515 W 9 MILE RD STE 700B
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4403
Practice Address - Country:US
Practice Address - Phone:248-450-5329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-31
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty