Provider Demographics
NPI:1144479585
Name:ADVANCED HEALTH CHIROPRACTIC PLLC
Entity type:Organization
Organization Name:ADVANCED HEALTH CHIROPRACTIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:JANNELLE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-813-0500
Mailing Address - Street 1:6585 ROCHESTER RD
Mailing Address - Street 2:SUITE #107
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1363
Mailing Address - Country:US
Mailing Address - Phone:248-813-0500
Mailing Address - Fax:
Practice Address - Street 1:6585 ROCHESTER RD
Practice Address - Street 2:SUITE #107
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-1363
Practice Address - Country:US
Practice Address - Phone:248-813-0500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-10
Last Update Date:2010-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI540F340490OtherBCBSM DME
MIP20010Medicare PIN
MI6024620001Medicare NSC
MI540F340490OtherBCBSM DME