Provider Demographics
NPI:1770736472
Name:VESPRINI CHIROPRACTIC LIFE CENTER, PLLC
Entity type:Organization
Organization Name:VESPRINI CHIROPRACTIC LIFE CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:LUCA
Authorized Official - Last Name:VESPRINI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:313-527-7070
Mailing Address - Street 1:12912 E 8 MILE RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-1142
Mailing Address - Country:US
Mailing Address - Phone:313-527-7070
Mailing Address - Fax:313-527-7016
Practice Address - Street 1:12912 E 8 MILE RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-1142
Practice Address - Country:US
Practice Address - Phone:313-527-7070
Practice Address - Fax:313-527-7016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIFV005801111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty