Provider Demographics
NPI:1730359886
Name:BERL A. MICHEL DC, PA
Entity type:Organization
Organization Name:BERL A. MICHEL DC, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BERL
Authorized Official - Middle Name:A
Authorized Official - Last Name:MICHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-627-2747
Mailing Address - Street 1:9121 N MILITARY TRL
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-5984
Mailing Address - Country:US
Mailing Address - Phone:561-627-2747
Mailing Address - Fax:561-691-2098
Practice Address - Street 1:9121 N MILITARY TRL
Practice Address - Street 2:SUITE 208
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-5984
Practice Address - Country:US
Practice Address - Phone:561-627-2747
Practice Address - Fax:561-691-2098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2017-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0005855111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22615Medicare PIN