Provider Demographics
NPI:1700686417
Name:CONCORDE CHIROPRACTIC
Entity type:Organization
Organization Name:CONCORDE CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-729-7180
Mailing Address - Street 1:1120 E LONG LAKE RD STE 101
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-4974
Mailing Address - Country:US
Mailing Address - Phone:248-729-7180
Mailing Address - Fax:
Practice Address - Street 1:1120 E LONG LAKE RD STE 101
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-4974
Practice Address - Country:US
Practice Address - Phone:248-729-7180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty