Provider Demographics
NPI:1861437394
Name:ROY, MARIE-CLAUDE (DC)
Entity type:Individual
Prefix:DR
First Name:MARIE-CLAUDE
Middle Name:
Last Name:ROY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48307-2011
Mailing Address - Country:US
Mailing Address - Phone:248-923-2428
Mailing Address - Fax:248-656-6958
Practice Address - Street 1:115 E 3RD ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48307-2011
Practice Address - Country:US
Practice Address - Phone:248-923-2428
Practice Address - Fax:248-656-6958
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-18
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009207111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI95-OF31744-0OtherBCBS
MI5260086OtherAETNA
MICH630035OtherM-CARE
MI95OF353830OtherBCN
MI123532OtherPREFERRED CHOICES
MIU-59113OtherHAP
MIU-59113OtherHAP
MI5260086OtherAETNA