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ADVANCED SPORTS & SPINE MGMT
NPI 1114511425
Chiropractor in Oak Park, MI

Active since February 26, 2021
23350 GREENFIELD RD STE 105, OAK PARK, MI 48237(313) 790-3998 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Sports & Spine Mgmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED SPORTS & SPINE MGMT (NPI 1114511425) is a healthcare organization registered as a chiropractor in Oak Park, Michigan and active in the NPI registry since February 2021. The organization lists Haroun Fetteh, Chiropractor/owner, as its authorized official.

NPPES Registry Identity

NPI1114511425
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameADVANCED SPORTS & SPINE MGMT
Location Address23350 GREENFIELD RD STE 105Oak Park, MI 48237-2496
Mailing AddressPo Box 7175Dearborn, MI 48121-7175 · (313) 790-3998
Phone(313) 790-3998
Organization SubpartNo
Authorized OfficialHaroun FettehChiropractor/owner · (313) 790-3998
Enumeration DateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
✔ NPI 1114511425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
23350 GREENFIELD RD STE 105, Oak Park, MI 48237
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Sports & Spine Mgmt's NPI number?

The NPI number for Advanced Sports & Spine Mgmt is 1114511425. It was assigned to this organization in the NPPES registry on February 26, 2021.

Where is Advanced Sports & Spine Mgmt located?

Advanced Sports & Spine Mgmt is located at 23350 Greenfield Rd Ste 105, Oak Park, MI 48237. The listed phone number is (313) 790-3998.

What is Advanced Sports & Spine Mgmt's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Advanced Sports & Spine Mgmt was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.