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Edgerton Chiropractic Clinic Inc

Edgerton Chiropractic Clinic Inc is a health care provider in Brockway, MI. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 7616 Brockway Rd, Brockway, MI 48097-3408, US
Practice Location Phone810-387-3342
Practice Location Fax810-387-3543
Legal Business NameEDGERTON CHIROPRACTIC CLINIC INC
NPI ?1144316266
Entity TypeOrganization
Enumeration Date ? Oct 5, 2006
Last Update Date ? Jun 16, 2014
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Edgerton Chiropractic Clinic Inc

SpecialtySpecializationLicenseLicense State
Chiropractor BE006504Michigan

legacy-id-icon Legacy Provider IDs of Edgerton Chiropractic Clinic Inc

Provider IdIssuer StateIssuer TypeIssuer
950G411160MichiganOtherBCBS

official-icon Authorized Official of Edgerton Chiropractic Clinic Inc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Edgerton Chiropractic Clinic Inc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Brent Lee Edgerton (DC)
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number810-387-3342