Provider Demographics
NPI:1548371834
Name:ATKINS, DONALD EUGENE (DC)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:EUGENE
Last Name:ATKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33595 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-3077
Mailing Address - Country:US
Mailing Address - Phone:248-473-6491
Mailing Address - Fax:248-473-6491
Practice Address - Street 1:33595 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-3077
Practice Address - Country:US
Practice Address - Phone:248-473-6491
Practice Address - Fax:248-473-6491
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301005378111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor