Fasick, Adam Russell
Fasick, Adam Russell is an sole proprietor health care provider with primary practice located at 3220 E Grand River Ave , Howell MI 48843-8563. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fasick, Adam Russell can be contacted via phone (517) 376-6836.Contact Information
Primary practice address
3220 E Grand River Ave
Howell MI 48843-8563
Phone: (517) 376-6836
Fax: (517) 376-6862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | AF008301 | Michigan |
Profile Details
| NPI number | 1235168121 |
|---|---|
| LBN Legal business name | Fasick, Adam Russell |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Oct 18th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235168121 | NPPES |
| Michigan | Other | 138952 | PREFERRED CHOICES PPO ID |
| Michigan | Other | 200334885 | PREFERRED CHOICES PPO ID |
| Michigan | MEDICAID | 1235168121 | PREFERRED CHOICES PPO ID |
| Michigan | Other | 950D710500 | PREFERRED CHOICES PPO ID |
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