Provider Demographics
NPI:1962250423
Name:ALDIRAWI, JAAFER (DC)
Entity type:Individual
Prefix:
First Name:JAAFER
Middle Name:
Last Name:ALDIRAWI
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 1:34935 SCHOOLCRAFT RD # 108
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-1317
Mailing Address - Country:US
Mailing Address - Phone:313-757-9177
Mailing Address - Fax:
Practice Address - Street 1:34935 SCHOOLCRAFT RD # 108
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1317
Practice Address - Country:US
Practice Address - Phone:313-757-9177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301401521111NR0400X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NR0400XChiropractic ProvidersChiropractorRehabilitation