Jeffrey E. Fantich, Dc, Plc

LBN: Jeffrey E. Fantich, Dc, Plc
Jeffrey E. Fantich, Dc, Plc is an health care organization with primary practice located at 6022 W Maple Rd Suite 405, West Bloomfield MI 48322-4408. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Jeffrey E. Fantich, Dc, Plc can be contacted via phone (248) 737-8066, or through Fantich, Jeffrey Edward via phone (248) 737-8066.

Contact Information

Primary practice address
6022 W Maple Rd Suite 405 West Bloomfield MI 48322-4408
Fax: (248) 737-9093
Website:
Authorized official contact:
Name: Fantich, Jeffrey Edward Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301006930 Michigan

Profile Details

NPI number 1205001807
LBN Legal business name Jeffrey E. Fantich, Dc, Plc
DBA Doing business as
Authorized official Fantich, Jeffrey Edward Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205001807 NPPES
Michigan Other 0F35177 BLUE CROSS

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