Provider Demographics
NPI:1376849208
Name:AMERICAN CHIROPRACTIC HEALTH CENTERS
Entity type:Organization
Organization Name:AMERICAN CHIROPRACTIC HEALTH CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCCARTY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-360-6600
Mailing Address - Street 1:8156 COOLEY LAKE RD
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48386-4309
Mailing Address - Country:US
Mailing Address - Phone:248-360-6600
Mailing Address - Fax:248-360-6605
Practice Address - Street 1:8156 COOLEY LAKE RD
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48386-4309
Practice Address - Country:US
Practice Address - Phone:248-360-6600
Practice Address - Fax:248-360-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-10
Last Update Date:2011-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008117111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty