Baltazar, Cory Russell

Baltazar, Cory Russell is an sole proprietor health care provider with primary practice located at 43059 7 Mile Rd , Northville MI 48167-2279. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Baltazar, Cory Russell can be contacted via phone (734) 891-5675.

Contact Information

Primary practice address
43059 7 Mile Rd Northville MI 48167-2279
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301009907 Michigan

Profile Details

NPI number 1285991471
LBN Legal business name Baltazar, Cory Russell
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2012
Last updated Apr 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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